Organization Active NPI

Living Well Primary Care/Urgent Care Clinic

  • Health Service Clinic/Center
  • Atlanta, GA
National Provider Identifier
1902297914
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LIVING WELL PRIMARY CARE/URGENT CARE CLINIC
Practice address
85 Peachtree PL NW
Atlanta, GA 30309-3828
Phone
(770) 687-9445
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Ms. McKeisha L Washington
Title
Managing Partner
Phone
(770) 687-9445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

85 Peachtree PL NW
Atlanta, GA 30309-3828

Mailing address

85 Peachtree PL NW
Atlanta, GA 30309-3828
Phone (770) 687-9445

National Provider Directory

National Provider Directory

Locations

85 Peachtree Pl NW
Atlanta, GA 30309
Phone (770) 687-9445

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1902297914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PEACHTREE PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093828",
            "telephone_number": "770-687-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PEACHTREE PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093828",
            "telephone_number": "770-687-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PRIMARY CARE/URGENT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "MCKEISHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "770-687-9445",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.