Organization Active NPI

Shalom Wellness Clinic

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1841997988
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SHALOM WELLNESS CLINIC
Practice address
925B Peachtree St NE Ste 2050
Atlanta, GA 30309-3918
Phone
(864) 986-7496
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Rasheena T Moonie
Title
Founder
Phone
(864) 986-7496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

925B Peachtree St NE Ste 2050
Atlanta, GA 30309-3918

Mailing address

925B Peachtree St NE Ste 2050
Atlanta, GA 30309-3918
Phone (864) 986-7496

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rasheenaparker@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

925B Peachtree St NE
Ste 2050
Atlanta, GA 30309
Phone (864) 986-7496

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1841997988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE STE 2050",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918",
            "telephone_number": "864-986-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE STE 2050",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918",
            "telephone_number": "864-986-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "MOONIE",
        "authorized_official_first_name": "RASHEENA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "864-986-7496"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rasheenaparker@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "925B Peachtree St NE Ste 2050",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.