Soul Serene Wellness and Medspa LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

SOUL SERENE WELLNESS AND MEDSPA LLC

Practice address

5835 Campbellton Rd SW Ste 103
South Fulton, GA 30331-8014

Phone

(404) 549-2505

NPI assigned

Sep 23, 2024

Last updated

May 29, 2026By 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

Sherdina Q Hobson, CRNP, ANP-BCNPI 1104153055

Title

Nurse Practitioner

Phone

(404) 549-2505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Sherdina Q Hobson, R.N., CRNP, ANP-BC

  • Adult Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1104153055
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1851118772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 CAMPBELLTON RD SW STE 103",
            "city": "SOUTH FULTON",
            "state": "GA",
            "postal_code": "303318014",
            "telephone_number": "404-549-2505",
            "fax_number": "470-780-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 CAMPBELLTON RD SW STE 103",
            "city": "SOUTH FULTON",
            "state": "GA",
            "postal_code": "303318014",
            "telephone_number": "404-549-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SERENE WELLNESS AND MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "SHERDINA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-549-2505",
        "authorized_official_credential": "CRNP, ANP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in South Fulton, GA
• Providers in South Fulton, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.