Organization Active NPI

Lotus Skin Med Spa

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1487503835
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LOTUS SKIN MED SPA
Practice address
3200 Cobb Galleria Pkwy Ste 225
Atlanta, GA 30339-5941
Phone
(770) 309-2718
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Logan Williams, FNPNPI 1063212306
Title
FNP-BC
Phone
(510) 631-4010

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3200 Cobb Galleria Pkwy Ste 225
Atlanta, GA 30339-5941

Mailing address

1445 Liberty Pkwy NW
Atlanta, GA 30318-9390

National Provider Directory

National Provider Directory

Locations

3200 Cobb Galleria Pkwy
Ste 225
Atlanta, GA 30339
Phone (770) 309-2718

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1487503835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 LIBERTY PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303189390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COBB GALLERIA PKWY STE 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395941",
            "telephone_number": "770-309-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS SKIN MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "510-631-4010",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "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 Jan 27, 2026; 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.