Organization Active NPI

Human Wellness

  • Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1366714040
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
056072 Issued in GA
Legal business name
HUMAN WELLNESS
Practice address
892 Cooper Way
Lawrenceville, GA 30046-6101
Phone
(678) 689-5200
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Dr. Anthony Human, D.O.
Title
Chief Medical Officer
Phone
(678) 404-9585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 056072 GA Primary

Addresses

Primary practice location

892 Cooper Way
Lawrenceville, GA 30046-6101

Mailing address

892 Cooper Way
Lawrenceville, GA 30046-6101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1366714040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 COOPER WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 COOPER WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466101",
            "telephone_number": "678-689-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "HUMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "678-404-9585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "056072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.