Purifi Clinics Telemed, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PURIFI CLINICS TELEMED, LLC

Doing business as

Purifi Telemed

Practice address

1500 Peachtree Industrial Blvd Ste 125
Suwanee, GA 30024-8490

Phone

(470) 691-2508

NPI assigned

Feb 13, 2025

Last updated

Feb 13, 2025By 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

Jeremy Nelson, MD

Title

Cmo

Phone

(470) 691-2508

Specialties & licenses 1

Addresses

Other names 1

• Purifi Telemed Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Johnathon Steven Nolen, PA-C

  • Medical Physician Assistant
  • Hoschton, GA
  • NPI 1346630613
  NPD

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1467267666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PEACHTREE INDUSTRIAL BLVD STE 125",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248490",
            "telephone_number": "470-691-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PEACHTREE INDUSTRIAL BLVD STE 125",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248490",
            "telephone_number": "470-691-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURIFI CLINICS TELEMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "470-691-2508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purifi Telemed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.