Organization Active NPI

Premier Wellness of Georgia LLC

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1770481038
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER WELLNESS OF GEORGIA LLC
Practice address
999 Peachtree St NE Ste 400
Atlanta, GA 30309-4426
Phone
(404) 480-8176
Fax
(404) 481-2078
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Jon Christopher Gibbs, MD
Title
Owner
Phone
(404) 480-8176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

999 Peachtree St NE Ste 400
Atlanta, GA 30309-4426

Mailing address

999 Peachtree St NE Ste 400
Atlanta, GA 30309-4426
Phone (404) 480-8176

National Provider Directory

National Provider Directory

Locations

999 Peachtree St NE
Ste 400
Atlanta, GA 30309
Phone (404) 330-9308

NPI Registry JSON

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1770481038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 PEACHTREE ST NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094426",
            "telephone_number": "404-480-8176",
            "fax_number": "404-481-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 PEACHTREE ST NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094426",
            "telephone_number": "404-480-8176",
            "fax_number": "404-481-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-480-8176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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 Oct 27, 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.