NPIMap

Organization Active NPI

Life Empowerment Institute

Doing business as life empowerment wellness center

  • Chiropractor
  • Sandy Springs, GA
National Provider Identifier
1689705832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFE EMPOWERMENT INSTITUTE
Doing business as
life empowerment wellness center
Practice address
275 Carpenter Dr NE
Suite 209
Sandy Springs, GA 30328-4928
Phone
(404) 255-4410
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael James Tumminello, D.C.NPI 1518098078
Title
President
Phone
(404) 255-4410

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

275 Carpenter Dr NE
Suite 209
Sandy Springs, GA 30328-4928

Mailing address

275 Carpenter Dr NE
Suite 209
Sandy Springs, GA 30328-4928
Phone (404) 255-4410

Other names 1

  • life empowerment wellness center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427000510 GA Part B Supplier - Clinic/Group Practice 1759378367 Receives reassigned benefits from 2 practitioners
Practice locations: Sandy Springs, GA

National Provider Directory

National Provider Directory

Locations

275 Carpenter Dr
Ste 209
Sandy Springs, GA 30328
Phone (404) 255-4410

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689705832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CARPENTER DR NE",
            "address_2": "SUITE 209",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284928",
            "telephone_number": "404-255-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CARPENTER DR NE",
            "address_2": "SUITE 209",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284928",
            "telephone_number": "404-255-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE EMPOWERMENT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUMMINELLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-255-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "life empowerment wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.