Primera Health and Wellness

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4838 Issued in GA

Legal business name

PRIMERA HEALTH AND WELLNESS

Practice address

3060 Peachtree Rd NW
Suite 965
Atlanta, GA 30305-2234

Phone

(678) 904-7564

NPI assigned

Dec 4, 2014

Last updated

Dec 4, 2014By 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. Shailesh Sushil Kothari, DC

Title

Ceo

Phone

(678) 904-7564

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1427455575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 PEACHTREE RD NW",
            "address_2": "SUITE 965",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052234",
            "telephone_number": "678-904-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 PEACHTREE RD NW",
            "address_2": "SUITE 965",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052234",
            "telephone_number": "678-904-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERA HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_middle_name": "SUSHIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-904-7564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "4838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Intergrative Healthcare Inc (Prime Integrative Healthcare)
• Prime Pharmaceuticals and Compounding Pharmacy
• Prime Pharmaceuticals and Compounding Pharmacy
• Primecare Providers LLC
• Primedoc Ga LLC
• Primetime Lab Solutions
• Primo Health Partners
• Primo Health Partners, Inc.
• Susan A Primo, O.D.
• Amanda Primrose, LPC

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, 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 Dec 4, 2014; 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.