Mpowerr Health & Wellness of Atlanta Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

17028051 Issued in GA

Legal business name

MPOWERR HEALTH & WELLNESS OF ATLANTA INC.

Doing business as

THE WELL MAN

Practice address

3616 Ginnis Rd SW Unit 2
Atlanta, GA 30331-8574

Phone

(678) 394-6584

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Tourus Ronnard Jerelds, MPH

Title

Ceo

Phone

(678) 394-6584

Specialties & licenses 1

Addresses

Other names 1

• THE WELL MAN Doing business as

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1922539725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 GINNIS RD SW UNIT 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318574",
            "telephone_number": "678-394-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 GINNIS RD SW UNIT 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318574",
            "telephone_number": "678-394-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPOWERR HEALTH & WELLNESS OF ATLANTA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "JERELDS",
        "authorized_official_first_name": "TOURUS",
        "authorized_official_middle_name": "RONNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-394-6584",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "GA",
            "license": "17028051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE WELL MAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariah Christina Moyer, PT, DPT
• Marlynn Volpert Moyer, LPC LMFT MED
• Kweli Ayo Moyo, MD
• Mozaic; Putting the Pieces Together
• Dennis Mozingo, PH.D.
• Mr Ray LLC
• Mr Right Reverend Gregory Karl Davis
• Mr. LCSW, LLC
• Mr. Neb, LLC
• MRM Eyecare LLC

• Community Health Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.