Active NPI
TLC Lifestyle Company
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
National Provider Identifier
1467826933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- TLC LIFESTYLE COMPANY
- Practice address
- 3390 Peachtree Rd NE
Suite 515
Atlanta, GA 30326-1157 - Phone
- (404) 855-4585
- NPI assigned
- Nov 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ya Alexandra
- Title
- Manager
- Phone
- (404) 474-4932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3390 Peachtree Rd NE
Suite 515
Atlanta, GA 30326-1157
Mailing address
3535 Peachtree Rd NE
Suite 520-553
Atlanta, GA 30326-3287
National Provider Directory
National Provider DirectoryLocations
3390 Peachtree Rd NE
Ste 515
Atlanta, GA 30326
Phone (404) 855-4585
3535 Peachtree Rd NE
Ste 520553
Atlanta, GA 30326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455494400000",
"number": "1467826933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 PEACHTREE RD NE",
"address_2": "SUITE 520-553",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303263287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 PEACHTREE RD NE",
"address_2": "SUITE 515",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261157",
"telephone_number": "404-855-4585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC LIFESTYLE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-21",
"last_updated": "2016-02-15",
"status": "A",
"authorized_official_last_name": "ALEXANDRA",
"authorized_official_first_name": "YA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "404-474-4932"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.