Active NPI
Exalted Medical Wellness Center LLC.
- Multi-Specialty Clinic/Center
- Lawrenceville, GA
National Provider Identifier
1871446823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- EXALTED MEDICAL WELLNESS CENTER LLC.
- Practice address
- 1579 Stampmill Way
Lawrenceville, GA 30043-6288 - Phone
- (313) 412-9568
- NPI assigned
- Feb 18, 2026
- Last updated
- Feb 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sierra Dena Johnson, LMT
- Title
- Owner
- Phone
- (313) 412-9568
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
1579 Stampmill Way
Lawrenceville, GA 30043-6288
Mailing address
1579 Stampmill Way
Lawrenceville, GA 30043-6288
Phone (313) 412-9568
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Massage Therapist
- Lawrenceville, GA
- NPI 1437002482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1871446823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1579 STAMPMILL WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436288",
"telephone_number": "313-412-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1579 STAMPMILL WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436288",
"telephone_number": "313-412-9568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXALTED MEDICAL WELLNESS CENTER LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SIERRA",
"authorized_official_middle_name": "DENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-412-9568",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.