NPIMap

Organization Active NPI

GP Wellness Center, LLC

  • Internal Medicine Physician
  • Mableton, GA
National Provider Identifier
1821462979
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GP WELLNESS CENTER, LLC
Practice address
4855 Floyd Rd SW
Suite 104
Mableton, GA 30126-1323
Phone
(770) 485-3458
Fax
(770) 575-1050
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Ravinderpal K Gill, MD
Title
President
Phone
(770) 485-3458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4855 Floyd Rd SW
Suite 104
Mableton, GA 30126-1323

Mailing address

4855 Floyd Rd SW
Suite 104
Mableton, GA 30126-1323

National Provider Directory

National Provider Directory

Locations

4855 Floyd Rd SW
Mableton, GA 30126
Phone (770) 485-3458

Practitioners & affiliated clinicians

Practitioners 5

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": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1821462979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 FLOYD RD SW",
            "address_2": "SUITE 104",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 FLOYD RD SW",
            "address_2": "SUITE 104",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261323",
            "telephone_number": "770-485-3458",
            "fax_number": "770-575-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GP WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "RAVINDERPAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-485-3458",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.