Active NPI
GH2 Wellness LLC
- Physical Therapist
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GH2 WELLNESS LLC
- Practice address
- 2172 SE Baya Dr Ste 109
Lake City, FL 32025-4921 - Phone
- (407) 497-0827
- NPI assigned
- Jul 21, 2025
- 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
- Mr. Marcus Dewayne Anderson, DPT
- Title
- Owner
- Phone
- (407) 497-0827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2172 SE Baya Dr Ste 109
Lake City, FL 32025-4921
Mailing address
2172 SE Baya Dr Ste 109
Lake City, FL 32025-4921
Phone (407) 497-0827
National Provider Directory
National Provider Directory- Tax ID family
- GH2 Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Lake City, FL
- NPI 1841183662
Locations
2172 SE Baya Dr
Ste 109
Lake City, FL 32025
Phone (386) 243-0592
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": "1753056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753056000000",
"number": "1962384149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 SE BAYA DR STE 109",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320254921",
"telephone_number": "407-497-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2172 SE BAYA DR STE 109",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320254921",
"telephone_number": "407-497-0827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GH2 WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-21",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "DEWAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-497-0827",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.