Organization Active NPI

The Ultimate Wellness Group

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1598058885
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7161 Issued in TX
Legal business name
THE ULTIMATE WELLNESS GROUP
Practice address
12400 Shadow Creek Pkwy
Unit 3306
Pearland, TX 77584-7347
Phone
(832) 429-4576
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Akili Graham, MD
Title
Owner
Phone
(832) 429-4576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K7161 TX Primary

Addresses

Primary practice location

12400 Shadow Creek Pkwy
Unit 3306
Pearland, TX 77584-7347

Mailing address

6614 Stearns St
Houston, TX 77021-2418
Phone (832) 429-4576

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1598058885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 STEARNS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212418",
            "telephone_number": "832-429-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 SHADOW CREEK PKWY",
            "address_2": "UNIT 3306",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847347",
            "telephone_number": "832-429-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ULTIMATE WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "AKILI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-429-4576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.