Shimley Enterprises, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SHIMLEY ENTERPRISES, LLC

Doing business as

Physicians Weight Loss Centers

Practice address

11730 Jones Bridge Rd
Suite E
Johns Creek, GA 30005-5077

Phone

(770) 777-0790

Fax

(770) 777-0970

NPI assigned

Jul 11, 2013

Last updated

Jul 11, 2013By 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

Mrs. Patsy A Shimley

Title

Owner

Phone

(770) 777-0790

Specialties & licenses 1

Addresses

Other names 1

• Physicians Weight Loss Centers Doing business as

Locations

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1447691050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11730 JONES BRIDGE RD",
            "address_2": "SUITE E",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300055077",
            "telephone_number": "770-777-0790",
            "fax_number": "770-777-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11730 JONES BRIDGE RD",
            "address_2": "SUITE E",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300055077",
            "telephone_number": "770-777-0790",
            "fax_number": "770-777-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMLEY ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "SHIMLEY",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-777-0790",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Weight Loss Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn a. Walls, DDS, PC
• Shaquanta Shelley, LAPC
• Kemberly Shiobhan Sheridan, LPC
• Jeanie Witcraft Shiau, LCSW
• Seong Sool Shim, MD
• On Joong Shin, D.C./L.AC.
• Kaveh Shokoufi Moghiman, D.M.D
• Christopher Ross Sholota, DDS
• Basirat Oladunni Shomuyiwa
• David R. Shore, RPH.

• Medical Specialty Clinic/Center in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.