JC Wellness Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JC WELLNESS CENTER LLC

Practice address

903 Pavilion CT Ste D
McDonough, GA 30253-6672

Phone

(470) 414-0554

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Jovita Anyanwu, PMHNP

Title

Owner

Phone

(470) 414-0554

Specialties & licenses 1

Addresses

Practitioners 2

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

• Lynne Collier, LCSW

  • Clinical Social Worker
  • McDonough, GA
  • NPI 1093145088
  NPD
• Michele Denise Green, LPC

  • Professional Counselor
  • McDonough, GA
  • NPI 1235429093
  NPD

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1750135745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PAVILION CT STE D",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536672",
            "telephone_number": "470-414-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PAVILION CT STE D",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536672",
            "telephone_number": "470-414-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "JOVITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-414-0554",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Da'Quan James
• Ennisia Tekeisha James, LCSW
• Tinai James, PHD
• Leanne Jamison, MS, NCC, LPC
• Jason L. Johnson D.M.D., Inc
• Joelle Jean-Jacques, OD
• Jennefer Lourdes Jean
• Curtis Jefferson
• Tanya Jefferson
• Lakeisha Jenkins, DNP, FNP-C, PMHNP

• Psychiatric/Mental Health Nurse Practitioner in McDonough, GA
• Providers in McDonough, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.