NPIMap

Organization Active NPI

Tadda'S Total Wellness

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1659997286
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TADDA'S TOTAL WELLNESS
Practice address
2615 Park Central Blvd
Decatur, GA 30035-3907
Phone
(404) 667-0171
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Latasha Eileen Lewis, RNNPI 1548886179
Title
Owner
Phone
(404) 667-0171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2615 Park Central Blvd
Decatur, GA 30035-3907

Mailing address

2615 Park Central Blvd
Decatur, GA 30035-3907
Phone (404) 667-0171

National Provider Directory

National Provider Directory

Locations

2615 Park Central Blvd
Decatur, GA 30035
Phone (404) 667-0171

Practitioners & affiliated clinicians

Practitioners 1

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": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1659997286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PARK CENTRAL BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353907",
            "telephone_number": "404-667-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PARK CENTRAL BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353907",
            "telephone_number": "404-667-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADDA'S TOTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-667-0171",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

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