Organization Active NPI

First Step Weight Loss Clinic LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Jonesboro, GA
National Provider Identifier
1861209231
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
FIRST STEP WEIGHT LOSS CLINIC LLC
Practice address
7544 Southlake Pkwy Ste 102
Jonesboro, GA 30236-2495
Phone
(404) 884-1461
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Camilo Chimurenga
Title
Ceo/Owner
Phone
(312) 927-1428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X Primary

Addresses

Primary practice location

7544 Southlake Pkwy Ste 102
Jonesboro, GA 30236-2495

Mailing address

7544 Southlake Pkwy Ste 102
Jonesboro, GA 30236-2495
Phone (404) 884-1461

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1861209231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 SOUTHLAKE PKWY STE 102",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362495",
            "telephone_number": "404-884-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 SOUTHLAKE PKWY STE 102",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362495",
            "telephone_number": "404-884-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP WEIGHT LOSS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "CHIMURENGA",
        "authorized_official_first_name": "CAMILO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "312-927-1428"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.