Organization Active NPI

Strong Wellness Center LLC

  • Primary Care Clinic/Center
  • Stockbridge, GA
National Provider Identifier
1508139031
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
39485 Issued in GA
Legal business name
STRONG WELLNESS CENTER LLC
Practice address
1100 Eagles Landing Pkwy
Suite B
Stockbridge, GA 30281-9105
Phone
(678) 289-9002
Fax
(678) 289-9003
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Dr. Betty Elizabeth Strong, M.D.
Title
Physician/Owner
Phone
(678) 289-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 39485 GA Primary

Addresses

Primary practice location

1100 Eagles Landing Pkwy
Suite B
Stockbridge, GA 30281-9105

Mailing address

1100 Eagles Landing Pkwy
Suite B
Stockbridge, GA 30281-9105
Phone (678) 289-9002

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1508139031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 EAGLES LANDING PKWY",
            "address_2": "SUITE B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819105",
            "telephone_number": "678-289-9002",
            "fax_number": "678-289-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 EAGLES LANDING PKWY",
            "address_2": "SUITE B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819105",
            "telephone_number": "678-289-9002",
            "fax_number": "678-289-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "678-289-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "39485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.