Organization Active NPI

Golden Hands Weight Loss and Wellness Clinic

  • Clinic/Center
  • Dallas, GA
National Provider Identifier
1588317358
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GOLDEN HANDS WEIGHT LOSS AND WELLNESS CLINIC
Practice address
4075 Charles Hardy Pkwy Ste 122
Dallas, GA 30157-3317
Phone
(770) 693-9435
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Dr. Joice Atem AnuNPI 1598224081
Title
NP
Phone
(770) 693-9435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

4075 Charles Hardy Pkwy Ste 122
Dallas, GA 30157-3317

Mailing address

4075 Charles Hardy Pkwy Ste 122
Dallas, GA 30157-3317
Phone (770) 693-9435

Other identifiers 1

IdentifierTypeStateIssuer
1598224081OtherGANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Dallas

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2240969Golden Hands Weight Loss and Wellness Clinic LLC4075 Charles Hardy Parkway Suite 122, Acworth, GA 30157Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory

Locations

4075 Charles Hardy Pkwy
Ste 122
Dallas, GA 30157
Phone (404) 933-2641

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1588317358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 CHARLES HARDY PKWY STE 122",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573317",
            "telephone_number": "770-693-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 CHARLES HARDY PKWY STE 122",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573317",
            "telephone_number": "770-693-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HANDS WEIGHT LOSS AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "ANU",
        "authorized_official_first_name": "JOICE",
        "authorized_official_middle_name": "ATEM",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "770-693-9435",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598224081",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "address_1": "4075 Charles Hardy Pkwy Ste 122",
            "city": "Dallas",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301573317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.