Family Health & Wellness Centers of Georgia, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

056229 Issued in GA

Legal business name

FAMILY HEALTH & WELLNESS CENTERS OF GEORGIA, LLC

Doing business as

FamilyWellnessMD

Practice address

3371 N Berkeley Lake Rd NW
Suite 101
Berkeley Lake, GA 30096-4367

Phone

(404) 625-0531

NPI assigned

May 12, 2015

Last updated

Jun 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nadia Deborah Taylor, M.D.

Title

Owner

Phone

(404) 625-0531

Specialties & licenses 2

Addresses

Other names 1

• FamilyWellnessMD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly N Hodge-Spears, MD

  • Pediatrics Physician
  • Duluth, GA
  • NPI 1083762025
  NPD (past)

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1386022184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 N BERKELEY LAKE RD NW",
            "address_2": "SUITE 101",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300964367",
            "telephone_number": "404-625-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 N BERKELEY LAKE RD NW",
            "address_2": "SUITE 101",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300964367",
            "telephone_number": "404-625-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH & WELLNESS CENTERS OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NADIA",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-625-0531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "056229",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "056229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FamilyWellnessMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sarah Irene Dorsey, M.S., CMHC-INTERN
• Drmichaelwangpt, LLC
• Faith and Family Empowerment
• Febo Dentistry PC (DreamSmile of Norcross)
• Mitchell Foy, LPC
• Ann Gillman, LCSW
• Glimpse Pharmacy LLC
• Joseph Adam Hans, D.C.

• Primary Care Clinic/Center in Berkeley Lake, GA
• Providers in Berkeley Lake, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.