Organization Active NPI

Wholecare Medical, Inc

  • Multi-Specialty Clinic/Center
  • Norcross, GA
National Provider Identifier
1659619088
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WHOLECARE MEDICAL, INC
Practice address
5390 Peachtree Industrial Blvd
Suite 100
Norcross, GA 30071-4715
Phone
(404) 277-8988
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Mr. Brandon Y Lee
Title
Ceo
Phone
(404) 277-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5390 Peachtree Industrial Blvd
Suite 100
Norcross, GA 30071-4715

Mailing address

5390 Peachtree Industrial Blvd
Suite 100
Norcross, GA 30071-4715
Phone (404) 277-8988

National Provider Directory

National Provider Directory

Locations

5390 Peachtree Industrial Blvd
Ste 100
Norcross, GA 30071
Phone (404) 277-8988

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1659619088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714715",
            "telephone_number": "404-277-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714715",
            "telephone_number": "404-277-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLECARE MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-277-8988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.