Organization Active NPI

Resolution Natural-Wellness & Concierge Service, LLC

  • Integrative Medicine Physician
  • Covington, GA
National Provider Identifier
1942922190
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
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

Updated by the provider on Oct 9, 2024

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)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20221107003440 GA Part B Supplier - Clinic/Group Practice 1759758592 Receives reassigned benefits from 1 practitioner
Practice locations: Griffin, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.