Premier Health and Wellness Management, LLC

Primary specialty

Enterostomal Therapy Registered NurseTaxonomy code 163WE0900X

Legal business name

PREMIER HEALTH AND WELLNESS MANAGEMENT, LLC

Doing business as

Premier Health and Wellness

Practice address

1830 Water PL SE
Suite #295
Atlanta, GA 30339-7407

Phone

(770) 933-0213

NPI assigned

Dec 30, 2009

Last updated

Jan 14, 2010By 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

Mrs. Delinia J. Weaver

Title

Member/Manger

Phone

(770) 933-0213

Specialties & licenses 1

Addresses

Other names 1

• Premier Health and Wellness Doing business as

Locations

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1801126669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N",
            "address_2": "SUITE #295",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "770-933-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WATER PL SE",
            "address_2": "SUITE #295",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397407",
            "telephone_number": "770-933-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH AND WELLNESS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DELINIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER/MANGER",
        "authorized_official_telephone_number": "770-933-0213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.