Genesis Comprehensive Wellness Screenings, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GENESIS COMPREHENSIVE WELLNESS SCREENINGS, LLC

Practice address

3417 Highway 5 Ste D
Douglasville, GA 30135-2378

Phone

(470) 284-2895

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Janine Eastman

Title

President

Phone

(470) 284-2895

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1366035768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 HIGHWAY 5 STE C1",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352378",
            "telephone_number": "470-284-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 HIGHWAY 5 STE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352378",
            "telephone_number": "470-284-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COMPREHENSIVE WELLNESS SCREENINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-284-2895"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Dale Gebhardt, LMFT
• Gems Home Healthcare Community LL C
• Gencare Health and Caregiver Services LLC
• General Surgical Associates, PC
• Genesis Anesthesia Services LLC
• Genesis Global Business Development, LLC
• Genesis Globe Nursing Care
• Genoa Healthcare LLC
• Binu J George, MD
• Ferran George, RBT

• Clinic/Center in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.