Bwell Integrative Health and Wellness Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BWELL INTEGRATIVE HEALTH AND WELLNESS CENTER LLC

Practice address

3144 Golf Ridge Blvd Ste 201
Douglasville, GA 30135-1913

Phone

(470) 331-9468

Fax

(770) 234-5717

NPI assigned

Feb 16, 2026

Last updated

Feb 16, 2026By 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

Vivian Adu-AboagyeNPI 1043798838

Title

Owner

Phone

(470) 331-9468

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Vivian Adu-Aboagye

  • Family Nurse Practitioner
  • Lithia Springs, GA
  • NPI 1043798838

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1669325189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 GOLF RIDGE BLVD STE 201",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351913",
            "telephone_number": "470-331-9468",
            "fax_number": "770-234-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 GOLF RIDGE BLVD STE 201",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351913",
            "telephone_number": "470-331-9468",
            "fax_number": "770-234-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWELL INTEGRATIVE HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "ADU-ABOAGYE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-331-9468"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valencia R Burruss, M.D.
• Kelvin B. Burton, M.D.
• Brittany Bush
• Awais Ijaz Butt, D.C.
• Aundrea Hammock Butts, LPC
• Bwell Medical and Wellness Center
• Natalie Phuong Byrne, AGACNP-BC
• C E Mitchell Services Foundation
• C&C Healthcare Services Inc
• C&E Medical Supplies

• Family Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.