GH2 Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GH2 WELLNESS LLC

Practice address

2172 SE Baya Dr Ste 102
Lake City, FL 32025-4921

Phone

(386) 243-0592

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Marcus Anderson, DPTNPI 1598206625

Title

Owner

Phone

(407) 497-0827

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

GH2 Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• GH2 Wellness LLC

  • Physical Therapist
  • Lake City, FL
  • NPI 1962384149
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus Anderson, DPT

  • Physical Therapist
  • Lake City, FL
  • NPI 1598206625

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1841183662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 NW COMMONS LOOP STE 115-122",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557721",
            "telephone_number": "407-497-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 SE BAYA DR STE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254921",
            "telephone_number": "386-243-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GH2 WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-497-0827",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Lakeidra Gent
• Jessica George, PHARMD
• Vanessa George
• Dale Lynn Gerber, D.D.S.
• GH2 Wellness LLC
• Ahmed Abdelmonem Ghonim, PHARMD
• Heather Gibbons
• Richard B Gibbons, ARNP
• Jerome Gibson

• Physical Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.