Organization Active NPI

Precision Weight Loss Center LLC

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1730772344
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PRECISION WEIGHT LOSS CENTER LLC
Practice address
3755 Carmia Dr SW Ste 970
Atlanta, GA 30331-6254
Phone
(404) 496-6028
Fax
(678) 802-3486
NPI assigned
Feb 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Kelvin Brown, MDNPI 1366426660
Title
Owner
Phone
(404) 496-6028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3755 Carmia Dr SW Ste 970
Atlanta, GA 30331-6254

Mailing address

3755 Carmia Dr SW Ste 970
Atlanta, GA 30331-6254
Phone (404) 496-6028

National Provider Directory

National Provider Directory

Locations

3755 Carmia Dr SW
Ste 970
Atlanta, GA 30331
Phone (404) 496-6028

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": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1730772344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 CARMIA DR SW STE 970",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316254",
            "telephone_number": "404-496-6028",
            "fax_number": "678-802-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 CARMIA DR SW STE 970",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316254",
            "telephone_number": "404-496-6028",
            "fax_number": "678-802-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION WEIGHT LOSS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-496-6028",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.