Organization Active NPI

Faith First Fitness Inc

  • Obesity Medicine (Preventive Medicine) Physician
  • Decatur, GA
National Provider Identifier
1366034712
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
FAITH FIRST FITNESS INC
Practice address
5000 Snapfinger Woods Dr
Decatur, GA 30035-4085
Phone
(678) 914-7132
NPI assigned
Feb 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Datavious D Lucas
Title
Ceo
Phone
(678) 914-7132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083B0002X Primary

Addresses

Primary practice location

5000 Snapfinger Woods Dr
Decatur, GA 30035-4085

Mailing address

4238 Ridgetop Dr
Ellenwood, GA 30294-1908

Other names 1

  • Faith First Fitness Inc Doing business as

National Provider Directory

National Provider Directory

Locations

5000 Snapfinger Woods Dr
Decatur, GA 30035
Phone (202) 617-1006

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1366034712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 RIDGETOP DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354085",
            "telephone_number": "678-914-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FIRST FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "DATAVIOUS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-914-7132"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith First Fitness Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.