Fitmed Wellness, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

031205 Issued in GA

Legal business name

FITMED WELLNESS, LLC

Doing business as

Fitmed Wellness Center

Practice address

9420 Willeo Rd
Suite 206
Roswell, GA 30075-6772

Phone

(770) 552-3232

Fax

(770) 552-3230

NPI assigned

Apr 27, 2011

Last updated

May 2, 2011By 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

Mr. Brett Adam Greenberg

Title

Ceo

Phone

(770) 552-3232

Specialties & licenses 1

Addresses

Other names 1

• Fitmed Wellness Center Doing business as

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1548551344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 WILLEO RD",
            "address_2": "SUITE 206",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756772",
            "telephone_number": "770-552-3232",
            "fax_number": "770-552-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 WILLEO RD",
            "address_2": "SUITE 206",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756772",
            "telephone_number": "770-552-3232",
            "fax_number": "770-552-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITMED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-552-3232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "031205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitmed Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.