Organization Active NPI

TLC Lifestyle Company

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
National Provider Identifier
1467826933
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Feb 15, 2016

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.