Organization Active NPI

I Am Whole Wellness Center, LLC

  • Public Health & General Preventive Medicine Physician
  • Stone Mountain, GA
National Provider Identifier
1841135647
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
I AM WHOLE WELLNESS CENTER, LLC
Practice address
5405 Memorial Dr BLDG C
Stone Mountain, GA 30083-3234
Phone
(678) 999-2611
Fax
(678) 999-2611
NPI assigned
Apr 20, 2026
Organization subpart
Yes
Parent organization
ICAN THINK POSITIVE COUNSELING AND COACHING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Tinita SimmondsNPI 1194141796
Title
Director
Phone
(678) 999-2611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

5405 Memorial Dr BLDG C
Stone Mountain, GA 30083-3234

Mailing address

5405 Memorial Dr BLDG C
Stone Mountain, GA 30083-3234
Phone (678) 999-2611

National Provider Directory

National Provider Directory
Tax ID family
I Am Whole Wellness Center LLC2 organizations share this tax ID, including this one
Part of
I Am Whole Wellness Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5405 Memorial Dr
Bldg C
Stone Mtn, GA 30083
Phone (404) 299-6555

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1841135647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 MEMORIAL DR BLDG C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833234",
            "telephone_number": "678-999-2611",
            "fax_number": "678-999-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MEMORIAL DR BLDG C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833234",
            "telephone_number": "678-999-2611",
            "fax_number": "678-999-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM WHOLE WELLNESS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ICAN THINK POSITIVE COUNSELING AND COACHING SERVICES",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "TINITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-999-2611"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.