MIND BODY SPIRIT WELLNESS INC (NPI# 1508138561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508138561 |
| Entity Type | Organization |
| Organization Name | MIND BODY SPIRIT WELLNESS INC |
| Practice Address |
2801 Buford Hwy Ne Ste T65 Atlanta GA 30329-2145 |
| Mailing Address |
2484 Briarcliff Rd Ne Ste 22-315 Atlanta GA 30329-3011 |
| Practice Telephone | 4044789868 |
| Mailing Telephone | 4044789868 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |
| Authorized Official Name | MAIYSHA TANIA CLAIRBORNE (PRESIDENT/CEO) |
| Authorized Official Telephone | 4044789868 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
055194 | GA | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
055194 | GA | Ambulatory Health Care Facilities |
| Street Address |
2801 BUFORD HWY NE STE T65 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780947978 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 2255 Peachtree Rd Ne, Ste G, Atlanta, GA 30309-1101 | 2012-06-21 |
| 1467719849 | Mina Jacob, Md, PC | Clinic/Center | 1300 Peachtree Battle Ave Nw, Atlanta, GA 30327-1424 | 2012-04-23 |
| 1558525071 | Charlene Johnson Md LLC | Clinic/Center | 2945 Stone Hogan Rd, Suite 201, Atlanta, GA 30331-2835 | 2008-07-14 |
| 1497954093 | Orthopaedic & Spine Surgery of Atlanta | Clinic/Center | 3161 Howell Mill Road, Suite 400, Atlanta, GA 30327 | 2007-07-13 |
| 1336345982 | Emory Healthcare | Clinic/Center | The Emory Clinic 1525 Clifton Rd, Atlanta, GA 30322-0001 | 2007-06-21 |
| 1568822195 | H & Z Acupuncture LLC | Clinic/Center | 57 Executive Park S, Atlanta, GA 30329-2288 | 2016-02-24 |
| 1780043547 | H & Z Acupuncture LLC | Clinic/Center | 57 Executive Park S, 150, Atlanta, GA 30329-2288 | 2016-02-22 |
| 1467825281 | J Dewayne Colquitt Md LLC | Clinic/Center | 35 Collier Rd Nw Ste 675, Atlanta, GA 30309-1612 | 2015-11-02 |
| 1972929685 | Withinme Md, Atlanta | Clinic/Center | 604 Glen Iris Dr Ne, Atlanta, GA 30308-2717 | 2014-03-06 |
| 1003247859 | Legacy Women's Healthcare, PC | Clinic/Center | 960 Johnson Fy Rd Ne, Suite 215, Atlanta, GA 30342-1631 | 2013-12-04 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.