The M Center for Integrative Wellness

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

THE M CENTER FOR INTEGRATIVE WELLNESS

Practice address

555 Sun Valley Dr Ste C2
Roswell, GA 30076-5621

Phone

(888) 381-8556

Fax

(470) 435-6614

NPI assigned

May 3, 2019

Last updated

May 3, 2019By 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

Maia Walton, MD

Title

Ceo

Phone

(888) 381-8556

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maia Alees Gaither, M.D.

  • Allergy & Immunology Physician
  • Roswell, GA
  • NPI 1093888588

  Pediatrics

  NPD (past)
• Rachel Kathleen Poage, NP

  • Pediatric Nurse Practitioner
  • Duluth, GA
  • NPI 1124598123
  NPD (past)

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1528623774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE C2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE C2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765621",
            "telephone_number": "888-381-8556",
            "fax_number": "470-435-6614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 Research Ct Ste 800",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246606",
            "country_code": "US",
            "telephone_number": "888-381-8556",
            "fax_number": "470-435-6614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE M CENTER FOR INTEGRATIVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "MAIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-381-8556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Adolescent Medicine Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.