NPIMap

Organization Active NPI

Link Wellness Centers LLC

  • Physical Medicine & Rehabilitation Physician
  • Decatur, GA
National Provider Identifier
1700159126
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LINK WELLNESS CENTERS LLC
Practice address
1989 N Williamsburg Dr
Suite F
Decatur, GA 30033-5998
Phone
(404) 325-1234
Fax
(404) 325-5678
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Tefylon Velvette Cameron, D.C.
Title
Clinic Director
Phone
(404) 325-1234

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1989 N Williamsburg Dr
Suite F
Decatur, GA 30033-5998

Mailing address

1989 N Williamsburg Dr
Suite F
Decatur, GA 30033-5998
Phone (404) 325-1234

Other identifiers 1

IdentifierTypeStateIssuer
6687580001OtherGADME PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1700159126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 N WILLIAMSBURG DR",
            "address_2": "SUITE F",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335998",
            "telephone_number": "404-325-1234",
            "fax_number": "404-325-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 N WILLIAMSBURG DR",
            "address_2": "SUITE F",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335998",
            "telephone_number": "404-325-1234",
            "fax_number": "404-325-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINK WELLNESS CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "TEFYLON",
        "authorized_official_middle_name": "VELVETTE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "404-325-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6687580001",
            "state": "GA"
        }
    ],
    "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 13, 2013; 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.