Luxe Wellness MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LUXE WELLNESS MD

Practice address

3770 Bridle Ridge Dr
Suwanee, GA 30024-1067

Phone

(678) 650-1298

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Caroline Kelliny, PANPI 1164062550

Title

Ceo

Phone

(678) 650-1298

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Caroline Kelliny, PA

  • Internal Medicine Physician
  • Suwanee, GA
  • NPI 1164062550
  NPD Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1659908226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 BRIDLE RIDGE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 BRIDLE RIDGE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241067",
            "telephone_number": "678-650-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE WELLNESS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "KELLINY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-650-1298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.luxewellnessmd.com",
            "affiliation": "N",
            "endpointDescription": "telemedicine ehr",
            "address_1": "3245 Peachtree Pkwy # D244",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300246054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlyn Loynds, RBT
• LSLH Sugarloaf LLC (Peachtree Villa at Suwanee)
• Irina Catalina Luca, LCSW
• Kayla Lunn, FNP-C
• Luxe Recovery LLC
• Luxottica Retail North America Inc (Target Optical #C4376)
• Dionne Ann-Maureen Lynch-Ramos, ADVANCED PRACTICE-NP
• M & T Synergy, PC (Family & Cosmetic Dental Care)
• Mallory Mabini, RD
• Robert Matthew Maclean, RPH

• Internal Medicine Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.