Eighty Health and Wellness LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

EIGHTY HEALTH AND WELLNESS LLC

Practice address

483 Upper Riverdale Rd SW Ste G
Riverdale, GA 30274-2579

Phone

(678) 200-4785

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

Sandra Thomas, FNPNPI 1033611439

Title

Ceo

Phone

(678) 200-4785

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sandra Thomas

  • Psychiatric/Mental Health Nurse Practitioner
  • Stockbridge, GA
  • NPI 1033611439
  NPD Authorized official

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1568085587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442859",
            "telephone_number": "678-200-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 UPPER RIVERDALE RD SW STE G",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742579",
            "telephone_number": "678-200-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIGHTY HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-200-4785",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Education System Management, Inc
• Carrie Lynn Edwards
• Lavon Edwards, MD
• Errol Emile Effatt, D.C
• Laleh Ehsani, M.D.
• Nnenna Somtochukwu Sandra Ejiogu
• Amarachi Ekeh-Clarke, MD
• Anthonia Obiageri Ekpenike, M.B.B.S
• Lucretia Anastasia Ellick
• Kameelah L. Ellis, NP

• Health Service Clinic/Center in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.