Organization Active NPI

Exalted Medical Wellness Center LLC.

  • Multi-Specialty Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1871446823
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Ms. Sierra Dena Johnson, LMTNPI 1437002482
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)CodeLicenseStatePrimary
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 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, 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": "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.

Verify at the official NPI Registry.