Novu Wellness LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NOVU WELLNESS LLC

Practice address

4536 Nelson Brogdon Blvd
Building E Ste 2
Sugar Hill, GA 30518

Phone

(704) 305-1430

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By 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

Justin Heilig

Title

Ceo

Phone

(704) 305-1430

Specialties & licenses 4

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1518648682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 NELSON BROGDON BLVD",
            "address_2": "BUILDING E STE 2",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "30518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 NELSON BROGDON BLVD",
            "address_2": "BUILDING E STE 2",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "30518",
            "telephone_number": "704-305-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVU WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "HEILIG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-305-1430"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BRYON MCQUIRT",
            "identifier": "70170",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Morales
• Nephron Corporation (Sugar Hill Dialysis Center)
• Jimmy Nguyen, FNP-C
• Tracy Nix, MS, CCC-SLP
• Mabel I Njoku, MD
• Omniclaim LTD Co
• Racquel T Ortiz
• Uche Osakwe, RN
• Mary Eva Ostaszewski, FNP-C
• Aubree' Ann Parent, M.S., CCC-SLP

• Adult Mental Health Clinic/Center in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.