Lodebar Health and Wellness Clinic LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

LODEBAR HEALTH AND WELLNESS CLINIC LLC

Practice address

2945 Stone Hogan Connector Rd SW Ste 205
Atlanta, GA 30331-2839

Phone

(229) 234-9695

NPI assigned

Feb 24, 2025

Organization subpart

No

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

Authorized official

Name

Emmanuela C Conseillant, NP-BCNPI 1245988351

Title

Provider

Phone

(229) 234-9695

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Emmanuela C Conseillant, NP-BC

  • Primary Care Nurse Practitioner
  • Atlanta, GA
  • NPI 1245988351
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1871399212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 STONE HOGAN CONNECTOR RD SW STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312839",
            "telephone_number": "404-343-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 STONE HOGAN CONNECTOR RD SW STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312839",
            "telephone_number": "229-234-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODEBAR HEALTH AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "CONSEILLANT",
        "authorized_official_first_name": "EMMANUELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "229-234-9695",
        "authorized_official_credential": "NP-BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Nicole Locklin, MD
• Connor A Lockridge
• Karin Lockridge, M.S., CCC-A
• Lori Lockwood
• Zahra Alley Lococo
• Bereket Tessema Lodebo, MD
• Stephanie Lodge
• Sundus Lodhi, M.D.
• Umbreen Saheed Lodi, MD
• Emily Loeb, LCSW

• Primary Care Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.