Active NPI
Faith First Fitness Inc
- Obesity Medicine (Preventive Medicine) Physician
- Decatur, GA
National Provider Identifier
1366034712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Preventive Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.