Active NPI
Resolution Natural-Wellness & Concierge Service, LLC
- Integrative Medicine Physician
- Covington, GA
National Provider Identifier
1942922190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- RESOLUTION NATURAL-WELLNESS & CONCIERGE SERVICE, LLC
- Practice address
- 13165 Brown Bridge Rd
Covington, GA 30016-4115 - Phone
- (678) 774-9156
- NPI assigned
- Sep 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teeisa Richardson, FNP-C
- Title
- Ceo
- Phone
- (678) 774-9156
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
13165 Brown Bridge Rd
Covington, GA 30016-4115
Mailing address
101 N 8TH St Unit 2231
Griffin, GA 30223-3011
Phone (678) 774-9156
Other practice location 1
410 E Taylor St # M2
Griffin, GA 30223-3442
Phone (678) 774-9156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13165 Brown Bridge Rd
Covington, GA 30016
Phone (678) 471-2877
410 E Taylor St
#M2
Griffin, GA 30223
Phone (678) 774-9156
410 E Taylor St
Unit M2
Griffin, GA 30223
101 N 8th St
Unit 2231
Griffin, GA 30224
Phone (678) 289-0508
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Griffin, GA
- NPI 1609445303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1942922190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N 8TH ST UNIT 2231",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302233011",
"telephone_number": "678-774-9156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13165 BROWN BRIDGE RD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300164115",
"telephone_number": "678-774-9156"
}
],
"practiceLocations": [
{
"address_1": "410 E Taylor St # M2",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "302233442",
"country_code": "US",
"telephone_number": "678-774-9156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RESOLUTION NATURAL-WELLNESS & CONCIERGE SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-14",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "TEEISA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-774-9156",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.