NPIMap

Organization Active NPI

Dacula Health and Wellness,LLC

  • Primary Care Clinic/Center
  • Dacula, GA
National Provider Identifier
1861031809
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DACULA HEALTH AND WELLNESS,LLC
Practice address
2100 Browning Bend CT
Dacula, GA 30019-7758
Phone
(770) 919-5366
NPI assigned
Dec 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Authorized official

Name
Anke Mbapeh, NPNPI 1386135663
Title
Owner
Phone
(678) 992-6132

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2100 Browning Bend CT
Dacula, GA 30019-7758

Mailing address

2100 Browning Bend CT
Dacula, GA 30019-7758
Phone (770) 919-5366

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576886400000",
    "number": "1861031809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BROWNING BEND CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197758",
            "telephone_number": "770-919-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BROWNING BEND CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197758",
            "telephone_number": "770-919-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACULA HEALTH AND WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A",
        "authorized_official_last_name": "MBAPEH",
        "authorized_official_first_name": "ANKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-992-6132",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.