Everwell Acupuncture Center LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

EVERWELL ACUPUNCTURE CENTER LLC

Doing business as

N/a

Practice address

1230 Johnson Ferry PL
Suite I-20
Marietta, GA 30068-2048

Phone

(678) 273-2472

NPI assigned

Oct 27, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shijun Li, TC.M.D.NPI 1184908055

Title

Owner

Phone

(678) 273-2472

Specialties & licenses 1

Addresses

Other names 1

• N/A Doing business as

Locations

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.

• Shijun Li, LAC, OMD

  • Acupuncturist
  • Marietta, GA
  • NPI 1184908055
  Authorized official Same address or phone

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659823425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL",
            "address_2": "SUITE I-20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30068",
            "telephone_number": "678-273-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL",
            "address_2": "SUITE I-20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682048",
            "telephone_number": "678-273-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERWELL ACUPUNCTURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SHIJUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-273-2472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "TC.M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Marietta, GA
• Providers in Marietta, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.