Organization Active NPI

Holistic Health Management, LLC

Doing business as Multi-Care Holistic Health Center

  • Internal Medicine Physician
  • Conyers, GA
National Provider Identifier
1609185537
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46499 Issued in GA
Legal business name
HOLISTIC HEALTH MANAGEMENT, LLC
Doing business as
Multi-Care Holistic Health Center
Practice address
1650 Honey Creek Commons SE
Suite F
Conyers, GA 30013-5831
Phone
(770) 922-2556
Fax
(678) 210-0280
NPI assigned
Sep 27, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Gina Johnson
Title
Member
Phone
(770) 922-2556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 005695 GA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 46499 GA Primary

Addresses

Primary practice location

1650 Honey Creek Commons SE
Suite F
Conyers, GA 30013-5831

Mailing address

1650 Honey Creek Commons SE
Suite F
Conyers, GA 30013-5831
Phone (770) 922-2556

Other names 1

  • Multi-Care Holistic Health Center Doing business as

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
11D2016470Holistic HLTH MGR LLC Dba Multi-Care Holistic HLTH1650 Honey Creek Commons, SE, Suite F, Conyers, GA 30013Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Locations

1650 Honey Creek Cmns SE
Ste F
Conyers, GA 30013
Phone (770) 922-2556

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": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1609185537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HONEY CREEK COMMONS SE",
            "address_2": "SUITE F",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135831",
            "telephone_number": "770-922-2556",
            "fax_number": "678-210-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HONEY CREEK COMMONS SE",
            "address_2": "SUITE F",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135831",
            "telephone_number": "770-922-2556",
            "fax_number": "678-210-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-922-2556"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005695",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "46499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multi-Care Holistic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.