Organization Active NPI

Joi Life Wellness Group, LLC

  • Medical Specialty Clinic/Center
  • Smyrna, GA
National Provider Identifier
1871187815
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
JOI LIFE WELLNESS GROUP, LLC
Practice address
767 Concord Rd SE Ste B
Smyrna, GA 30082-2625
Phone
(404) 383-0845
Fax
(404) 383-0906
NPI assigned
Feb 20, 2021
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Dr. Mitzi Joi Williams, MDNPI 1356461248
Title
Ceo
Phone
(404) 383-0845

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
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

767 Concord Rd SE Ste B
Smyrna, GA 30082-2625

Mailing address

1400 Veterans Memorial Hwy SE Ste 134-341
Mableton, GA 30126-2945
Phone (404) 376-8116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504002330 GA Part B Supplier - Clinic/Group Practice 7517376551 Receives reassigned benefits from 2 practitioners
Practice locations: Smyrna, GA

National Provider Directory

National Provider Directory

Locations

1400 Veterans Memorial Hwy SE
Ste 134341
Mableton, GA 30126

3016 Atlanta Rd SE
Ste 150
Smyrna, GA 30080
Phone (404) 383-0845

767 Concord Rd SE
Ste B
Smyrna, GA 30082
Phone (404) 383-0845

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGCDCD

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1871187815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VETERANS MEMORIAL HWY SE STE 134-341",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262945",
            "telephone_number": "404-376-8116",
            "fax_number": "404-383-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 CONCORD RD SE STE B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822625",
            "telephone_number": "404-383-0845",
            "fax_number": "404-383-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOI LIFE WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "JOI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-383-0845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.