NPIMap

Organization Active NPI

Skinnylabb LLC

  • Primary Care Clinic/Center
  • Suwanee, GA
National Provider Identifier
1740669951
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
65085 Issued in GA
Legal business name
SKINNYLABB LLC
Practice address
530 Highland Station Dr. Suite 4001
Suwanee, GA 30024
Phone
(443) 939-1138
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Nicole Thomas, RNNPI 1841677275
Title
Registered Nurse
Phone
(443) 939-1138

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
Primary Care Clinic/Center 261QP2300X 65085 GA Primary

Addresses

Primary practice location

530 Highland Station Dr. Suite 4001
Suwanee, GA 30024

Mailing address

530 Highland Station Dr Ste 4001
Suwanee, GA 30024-6577
Phone (443) 939-1138

National Provider Directory

National Provider Directory

Locations

530 Highland Station Dr
Ste 4001
Suwanee, GA 30024
Phone (443) 939-1138

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1740669951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HIGHLAND STATION DR STE 4001",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246577",
            "telephone_number": "443-939-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HIGHLAND STATION DR. SUITE 4001",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "443-939-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNYLABB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "443-939-1138",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "65085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.