Serenity Care Center and Spa LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SERENITY CARE CENTER AND SPA LLC

Practice address

3610 Chamblee Tucker Rd Unit 3610
Atlanta, GA 30341-4418

Phone

(770) 294-2780

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Dartagnan Equestrian Gibson

Title

Manager

Phone

(843) 609-6169

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.

• Latasha Michelle Gibson, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1982541678
  NPD (past)

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744416000000",
    "number": "1588427637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 CHAMBLEE TUCKER RD UNIT 3610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414418",
            "telephone_number": "770-294-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 CHAMBLEE TUCKER RD UNIT 3610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414418",
            "telephone_number": "770-294-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE CENTER AND SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DARTAGNAN",
        "authorized_official_middle_name": "EQUESTRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-609-6169"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Serenity Laboratories LLC
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• Multi-Specialty Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.