Concord Behavorial Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CONCORD BEHAVORIAL HEALTH AND WELLNESS LLC

Practice address

5060 Allatoona Gateway Acworth
Roswell, GA 30101

Phone

(770) 525-1355

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Roseline UmenyioraNPI 1245856194

Title

Owner

Phone

(770) 525-1355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roseline Umenyiora, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Roswell, GA
  • NPI 1245856194
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1962294835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 LEXINGTON DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 ALLATOONA GATEWAY ACWORTH",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30101",
            "telephone_number": "770-525-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD BEHAVORIAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "UMENYIORA",
        "authorized_official_first_name": "ROSELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-525-1355"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.