Gruv Wellness Clinic

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

GRUV WELLNESS CLINIC

Practice address

1240 Sigman Rd NW Ste 103
Conyers, GA 30012-3934

Phone

(404) 857-4788

Fax

(404) 596-6295

NPI assigned

Jan 8, 2026

Organization subpart

No

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

Authorized official

Name

Samantha Banks, NPNPI 1275332371

Title

Owner

Phone

(404) 857-4788

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Samantha Banks, MSN, FNP-C

  • Nurse Practitioner
  • Conyers, GA
  • NPI 1275332371
  NPD Authorized official

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1700743069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SIGMAN RD NW STE 103",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123934",
            "telephone_number": "404-857-4788",
            "fax_number": "404-596-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SIGMAN RD NW STE 103",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123934",
            "telephone_number": "404-857-4788",
            "fax_number": "404-596-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUV WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-857-4788",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grncsb
• Ana Cecilia Groff, PT, DPT
• Clifford N Grossman, MD
• David L Grosswald, O.D.
• Timothy Alan Grubb, DDS
• Guardian Premier Home Care LLC
• Tyknetra Gunnison
• Danyell Joelle Guyton, CNP
• Andre Michael Gwyn, RBT
• H.O.P.E. Clinical Research & Wellness

• Primary Care Nurse Practitioner in Conyers, GA
• Providers in Conyers, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.