Organization Active NPI

Liquid Life Wellness

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1982368585
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Linda Enjema, NPNPI 1720659980
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)CodeLicenseStatePrimary
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 Directory

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": "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.

Verify at the official NPI Registry.