Organization Active NPI

Health and Wealth Centers,LLC

  • Specialist
  • Fayetteville, GA
National Provider Identifier
1639484975
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HEALTH AND WEALTH CENTERS,LLC
Practice address
215 Banks Sta
Fayetteville, GA 30214-7505
Phone
(770) 719-4949
Fax
(770) 719-4661
NPI assigned
Aug 11, 2010
Last updated
Aug 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Lisa Bunn
Title
Administrator
Phone
(770) 719-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

215 Banks Sta
Fayetteville, GA 30214-7505

Mailing address

215 Banks Sta
Fayetteville, GA 30214-7505
Phone (770) 719-4949

National Provider Directory

National Provider Directory

Locations

215 Banks Sta
Fayetteville, GA 30214
Phone (770) 719-4949

Practitioners & affiliated clinicians

Practitioners 2

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": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1639484975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BANKS STA",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147505",
            "telephone_number": "770-719-4949",
            "fax_number": "770-719-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BANKS STA",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147505",
            "telephone_number": "770-719-4949",
            "fax_number": "770-719-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WEALTH CENTERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-719-4949"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.