Organization Active NPI

Smart Fit by Brian , LLC

  • Health & Wellness Coach
  • Snellville, GA
National Provider Identifier
1467214601
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
SMART FIT BY BRIAN , LLC
Practice address
2204 Fountain SQ
Snellville, GA 30078-5757
Phone
(470) 331-8658
Fax
(888) 284-1971
NPI assigned
Jan 24, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Brian Jamal MeadowsNPI 1336901578
Title
Owner
Phone
(470) 331-8658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

2204 Fountain SQ
Snellville, GA 30078-5757

Mailing address

2100 Riverside Pkwy Ste 128-144
Lawrenceville, GA 30043-5927
Phone (470) 331-8658

National Provider Directory

National Provider Directory

Locations

2204 Fountain Sq
Snellville, GA 30078
Phone (470) 331-8658

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1467214601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RIVERSIDE PKWY STE 128-144",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435927",
            "telephone_number": "470-331-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 FOUNTAIN SQ",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785757",
            "telephone_number": "470-331-8658",
            "fax_number": "888-284-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART FIT BY BRIAN , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-331-8658"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.