Elite Wellness Solutions, LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

ELITE WELLNESS SOLUTIONS, LLC

Practice address

3401 Norman Berry Dr Ste 111
East Point, GA 30344-5102

Phone

(404) 225-2794

NPI assigned

Feb 10, 2022

Last updated

Feb 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shalonda D. Pettis, MMSC, PA, CHC

Title

Founder/Ceo

Phone

(770) 317-5743

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Shalonda B Pettis, PA-C

  • Physician Assistant
  • Fayetteville, GA
  • NPI 1447317474
  NPD

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1780338467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 NORMAN BERRY DR STE 111",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445102",
            "telephone_number": "404-225-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORMAN BERRY DR STE 111",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445102",
            "telephone_number": "404-225-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "SHALONDA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "770-317-5743",
        "authorized_official_credential": "MMSC, PA, CHC"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "practicebetter.io",
            "affiliation": "N",
            "endpointDescription": "Messaging platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3401 Norman Berry Dr Ste 111",
            "city": "East Point",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303445102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health & Wellness Coach in East Point, GA
• Providers in East Point, GA by specialty
• Health & Wellness Coach in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.