Southern Serenity Wellness

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTHERN SERENITY WELLNESS

Doing business as

southern serenity wellness

Practice address

830 Spring Creek Rd # C
Bainbridge, GA 39817-3554

Phone

(229) 205-5032

NPI assigned

Mar 14, 2022

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaquirah ScreenNPI 1306439328

Title

Owner

Phone

(229) 205-5032

Specialties & licenses 2

Addresses

Other names 1

• southern serenity wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaquirah Lashea Screen

  • Religious Nonmedical Nursing Personnel
  • Bainbridge, GA
  • NPI 1306439328
  NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1851049431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SPRING CREEK RD # C",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398173554",
            "telephone_number": "229-205-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SPRING CREEK RD # C",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398173554",
            "telephone_number": "229-205-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SERENITY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "SCREEN",
        "authorized_official_first_name": "SHAQUIRAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-205-5032"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "southern serenity wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "southern serenity wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Smith, NP-C
• South Albany Pharmacy (U Save It Pharmacy Bainbridge)
• South Albany Pharmacy LLC (U Save It Pharmacy Bainbridge LTC)
• South Georgia Spine and Joint Center, LLC (South Georgia Spine and Joint Center)
• Southern Serenity Home Care
• Southland Bainbridge Hospitalist Group, LLC
• Southland Childrens Dentistry Bainbridge LLC
• Speech Therapy Services, P. C.
• Ginger Spence, PHARMD
• Tiffany Kathleen Spooner, RPH

• Clinical Medical Laboratory in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.