Blossom Works Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLOSSOM WORKS WELLNESS LLC

Practice address

2310 Parklake Dr NE Ste 430
Atlanta, GA 30345-3066

Phone

(800) 423-9991

NPI assigned

Oct 17, 2026

Last updated

Oct 17, 2026By 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. Shatrece Jenkins

Title

Clinical Director

Phone

(800) 423-9991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1457257248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 PARKLAKE DR NE STE 430",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PARKLAKE DR NE STE 430",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453066",
            "telephone_number": "800-423-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM WORKS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHATRECE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "800-423-9991",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Dufour Bloom, MD
• Michael M Bloom, O.D.
• Blooming Care in-Home Care Services
• Blooming Forward ABA LLC
• Blossom ABA Therapy LLC
• Cameron Nichole Blount
• India Blount
• Nakesha F Blount
• Ray Blount, LNMT
• Roxson Perry Blount III, CSA

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; 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.