Active NPI
Liquid Life Wellness
- Primary Care Clinic/Center
- Atlanta, GA
National Provider Identifier
1982368585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- LIQUID LIFE WELLNESS
- Practice address
- 3201 Camden CT
Atlanta, GA 30349-8025 - Phone
- (404) 729-5437
- NPI assigned
- Oct 29, 2021
- 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
- Linda Enjema, NP
- Title
- FNP
- Phone
- (404) 729-5437
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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3201 Camden CT
Atlanta, GA 30349-8025
Mailing address
4938 Zoya CT SW
Atlanta, GA 30331-7527
Phone (404) 729-5437
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1720659980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1982368585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4938 ZOYA CT SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303317527",
"telephone_number": "404-729-5437",
"fax_number": "404-745-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 CAMDEN CT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303498025",
"telephone_number": "404-729-5437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIQUID LIFE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-29",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "ENJEMA",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "404-729-5437",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.