Atlanta Wellness Management Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ATLANTA WELLNESS MANAGEMENT CENTER, LLC

Doing business as

Hope Imaging Center

Practice address

3840 Peachtree Industrial Blvd # 140
Duluth, GA 30096-5031

Phone

(470) 333-8000

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Grace Park

Title

Center Operations Director

Phone

(770) 880-7668

Specialties & licenses 2

Addresses

Other names 1

• Hope Imaging Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Judith Cohen, M.D.

  • Diagnostic Radiology Physician
  • Roswell, GA
  • NPI 1982711263

  Single Specialty

  Medicare reassignment NPD
• Lillie Washington, FNP-C

  • Family Nurse Practitioner
  • Peachtree Corners, GA
  • NPI 1831942002
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697328000000",
    "number": "1700506979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD # 140",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965031",
            "telephone_number": "470-333-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD # 140",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965031",
            "telephone_number": "470-333-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA WELLNESS MANAGEMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CENTER OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "770-880-7668"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hopeimagingcenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3840 Peachtree Industrial Blvd # 140",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300965031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hope Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hope Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; 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.