Alpheus Wellness Center, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ALPHEUS WELLNESS CENTER, INC.

Practice address

445 Windy Hill Rd SE Ste 122
Marietta, GA 30060-7342

Phone

(678) 213-3319

Fax

(678) 213-3320

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bernardo Matos

Title

President

Phone

(678) 213-3319

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robin Michele Johnson, M.D.

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  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1427244250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WINDY HILL RD SE STE 122",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607342",
            "telephone_number": "678-213-3319",
            "fax_number": "678-213-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WINDY HILL RD SE STE 122",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607342",
            "telephone_number": "678-213-3319",
            "fax_number": "678-213-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHEUS WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-213-3319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.