Organization Active NPI

Serenity Wellness, L.L.C.

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1639624687
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008345 Issued in GA
Legal business name
SERENITY WELLNESS, L.L.C.
Practice address
2730 N Berkeley Lake Rd NW
B-1200, Suite 1105
Duluth, GA 30096-1748
Phone
(470) 535-0506
Fax
(855) 420-6741
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Dr. Candace Holmes, D.C.
Title
Owner
Phone
(470) 535-0506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 008345 GA Primary

Addresses

Primary practice location

2730 N Berkeley Lake Rd NW
B-1200, Suite 1105
Duluth, GA 30096-1748

Mailing address

2730 N Berkeley Lake Rd NW
B-1200, Suite 1105
Duluth, GA 30096-1748
Phone (470) 535-0506

National Provider Directory

National Provider Directory

Locations

2730 N Berkeley Lake Rd NW
Ste 1105
Duluth, GA 30096
Phone (470) 535-0506

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1639624687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N BERKELEY LAKE RD NW",
            "address_2": "B-1200, SUITE 1105",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961748",
            "telephone_number": "470-535-0506",
            "fax_number": "855-420-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N BERKELEY LAKE RD NW",
            "address_2": "B-1200, SUITE 1105",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961748",
            "telephone_number": "470-535-0506",
            "fax_number": "855-420-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WELLNESS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-535-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.