Organization Active NPI

Sereni Healthcare LLC

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1730010265
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SERENI HEALTHCARE LLC
Practice address
3576 Covington Hwy Ste 206E
Decatur, GA 30032-1800
Phone
(770) 600-2458
Fax
(770) 600-2459
NPI assigned
May 25, 2026
Last updated
May 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Princess Samarra Wise, APRN, FNP-BCNPI 1386594836
Title
Owner-FNP
Phone
(706) 248-3330

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3576 Covington Hwy Ste 206E
Decatur, GA 30032-1800

Mailing address

3576 Covington Hwy Ste 206E
Decatur, GA 30032-1800
Phone (770) 600-2458

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1730010265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 COVINGTON HWY STE 206E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321800",
            "telephone_number": "770-600-2458",
            "fax_number": "770-600-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 COVINGTON HWY STE 206E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321800",
            "telephone_number": "770-600-2458",
            "fax_number": "770-600-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_middle_name": "SAMARRA",
        "authorized_official_title_or_position": "OWNER-FNP",
        "authorized_official_telephone_number": "706-248-3330",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 25, 2026; 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.