Organization Active NPI

Vitalx Wellness, LLC

  • Family Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1437917143
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VITALX WELLNESS, LLC
Practice address
10955 Jones Bridge Rd Ste 126
Johns Creek, GA 30022-7343
Phone
(405) 426-5093
NPI assigned
Mar 7, 2024
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Sarika King
Title
Owner
Phone
(405) 426-5093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

10955 Jones Bridge Rd Ste 126
Johns Creek, GA 30022-7343

Mailing address

10955 Jones Bridge Rd Ste 126
Johns Creek, GA 30022-7343

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
11D2300816Vitalx Wellness LLC10955 Jones Bridge Road, Suite 126 #15, Johns Creek, GA 30022Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1437917143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10955 JONES BRIDGE RD STE 126",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10955 JONES BRIDGE RD STE 126",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227343",
            "telephone_number": "405-426-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALX WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SARIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-426-5093"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

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