Kiwimedspa Medical Weight Loss & Aesthetics LLC

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

KIWIMEDSPA MEDICAL WEIGHT LOSS & AESTHETICS LLC

Practice address

2103 Cain Cir Ste 120
Dacula, GA 30019-1658

Phone

(877) 549-4633

NPI assigned

Apr 15, 2026

Last updated

May 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Angel, MDNPI 1477180560

Title

Owner/Physician

Phone

(678) 936-6167

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Maria Angel, MD

  • Family Medicine Physician
  • Dacula, GA
  • NPI 1477180560
  NPD Authorized official
• Sergio Esteban Angel, MD

  • Family Medicine Physician
  • Dacula, GA
  • NPI 1346878261
  NPD (past)

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1891639464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MUNDY MILL RD STE 112 PMB 129",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30504",
            "telephone_number": "678-936-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 CAIN CIR STE 120",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191658",
            "telephone_number": "877-549-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIWIMEDSPA MEDICAL WEIGHT LOSS & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "678-936-6167",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kind Minds Early Intervention Services, LLC
• Kindly Home Care
• Nicole Marie King, CCC-SLP
• Brian Thomas Kinsey, DMD
• Betty Kitchen, DSC
• Katelyn Knight, LPC
• Erika Koredjian, NP
• Lee Korto, NP
• Ashley Harvard Kovac, M.ED., CCC-SLP
• Grace E Kwon, DMD

• Obesity Medicine (Preventive Medicine) Physician in Dacula, GA
• Providers in Dacula, GA by specialty
• Obesity Medicine (Preventive Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.