Hope & Faith Wellness Clinic

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HOPE & FAITH WELLNESS CLINIC

Practice address

112 Lanthier St
Winder, GA 30680-8100

Phone

(404) 789-4970

Fax

(423) 822-5729

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Ganiat Jaiyesinmi Ajayi, MD

Title

Owner

Phone

(404) 789-4970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1912352683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300190020",
            "telephone_number": "404-789-4970",
            "fax_number": "423-822-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LANTHIER ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808100",
            "telephone_number": "404-789-4970",
            "fax_number": "423-822-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE & FAITH WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "GANIAT",
        "authorized_official_middle_name": "JAIYESINMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-789-4970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Winder, GA
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• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.