Active NPI
I Am Whole Wellness Center, LLC
- Public Health & General Preventive Medicine Physician
- Stone Mountain, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- 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 SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tinita Simmonds
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 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 LLC
- 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.
-
- Community/Behavioral Health Agency
- Stone Mountain, GA
- NPI 1962824466
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.
-
- Community/Behavioral Health Agency
- Stone Mountain, GA
- NPI 1962824466
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Stone Mountain, GA
- NPI 1194141796
-
- Case Management Agency
- Conyers, GA
- NPI 1386004026
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.