Wellness IV Spa & Medical Weight Loss Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WELLNESS IV SPA & MEDICAL WEIGHT LOSS CENTER

Doing business as

Wellness IV Spa & Medical Weight Loss Center

Practice address

629 Holcomb Bridge Rd Ste 120
Roswell, GA 30076-1511

Phone

(773) 954-4476

Fax

(470) 239-1128

NPI assigned

Apr 25, 2022

Last updated

Apr 25, 2022By 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

Shumeka Hill, FNPNPI 1164718797

Title

Owner, Ceo

Phone

(773) 954-4476

Specialties & licenses 1

Addresses

Other names 1

• Wellness IV Spa & Medical Weight Loss Center Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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.

• Shumeka Tareesa Hill, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Johns Creek, GA
  • NPI 1164718797

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1467196477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 PARKVIEW LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055409",
            "telephone_number": "773-954-4476",
            "fax_number": "470-239-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 HOLCOMB BRIDGE RD STE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761511",
            "telephone_number": "773-954-4476",
            "fax_number": "470-239-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS IV SPA & MEDICAL WEIGHT LOSS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHUMEKA",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "773-954-4476",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wellnessivspa@gmail.com",
            "affiliation": "N",
            "address_1": "629 Holcomb Bridge Rd Ste 120",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300761511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wellness IV Spa & Medical Weight Loss Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen J Weiss, M.D.
• Welcome Medical Center, Inc.
• Wellcare, LLC
• Wellington Healthcare Billing, L.P.
• Wellness for the Ageless Woman, Inc
• Wellnessone of Roswell
• Katherine Wells
• Wellspring Counseling Center
• Wellstar Medical Group, LLC (OrthoXpress of Roswell)
• Wellstar Medical Group, LLC (WellStar Family Medicine (Willow Creek))

• Nurse Practitioner in Roswell, GA
• Providers in Roswell, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.