Organization Active NPI

Stat Wellness Peachtree City

Doing business as STAT Wellness

  • Health Service Clinic/Center
  • Peachtree City, GA
National Provider Identifier
1407610884
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
STAT WELLNESS PEACHTREE CITY
Doing business as
STAT Wellness
Practice address
3015 State St
Peachtree City, GA 30269-1598
Phone
(404) 254-5905
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Kristin Corbin OjaNPI 1790199172
Title
Ceo and Founder
Phone
(404) 731-6868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3015 State St
Peachtree City, GA 30269-1598

Mailing address

3015 State St
Peachtree City, GA 30269-1598
Phone (404) 254-5905

Other names 1

  • STAT Wellness Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2279278Stat Wellness Peachtree City3015 State Street, Peachtree City, GA 30269Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1407610884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 STATE ST",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691598",
            "telephone_number": "404-254-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 STATE ST",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691598",
            "telephone_number": "404-254-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT WELLNESS PEACHTREE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "OJA",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "CORBIN",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "404-731-6868"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAT Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.