Consult With Me Health & Wholeness PC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

CONSULT WITH ME HEALTH & WHOLENESS PC

Practice address

1970 Main St E Ste B3
Snellville, GA 30078-6463

Phone

(470) 467-4680

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Sharonda Forte, NURSE PRACTITIONER

Title

Ceo

Phone

(270) 987-1338

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1639840556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 SALEM RD SE STE 106-238",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132097",
            "telephone_number": "770-261-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 MAIN ST E STE B3",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786463",
            "telephone_number": "470-467-4680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2274 Salem Rd SE Ste 106-238",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300132097",
            "country_code": "US",
            "telephone_number": "770-261-1108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSULT WITH ME HEALTH & WHOLENESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "FORTE",
        "authorized_official_first_name": "SHARONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-987-1338",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003246533A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELEHEALTH",
            "identifier": "11015245",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELEHEALTH",
            "identifier": "3014745",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cwmtelehealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.cwmtelehealth.com",
            "address_1": "2274 Salem Rd SE Ste 106-238",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300132097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.