EIGHTY HEALTH AND WELLNESS LLC (NPI# 1568085587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568085587 |
| Entity Type | Organization |
| Organization Name | EIGHTY HEALTH AND WELLNESS LLC |
| Practice Address |
483 Upper Riverdale Rd Sw Ste G Riverdale GA 30274-2579 |
| Mailing Address |
4850 Sugarloaf Pkwy Ste 200 Lawrenceville GA 30044-2859 |
| Practice Telephone | 6782004785 |
| Mailing Telephone | 6782004785 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | SANDRA THOMAS (CEO) |
| Authorized Official Telephone | 6782004785 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
483 UPPER RIVERDALE RD SW STE G |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573552 | Richard I Wright | Internal Medicine | 483 Upper Riverdale Rd Sw Ste G, Riverdale, GA 30274-2584 | 2005-10-24 |
| 1124660659 | Yudelky Tereza Bentley | Nurse Practitioner | 483 Upper Riverdale Rd Sw Ste G, Riverdale, GA 30274-2584 | 2019-10-16 |
| 1508057589 | Medsouth Associates PC | Internal Medicine | 483 Upper Riverdale Rd Sw Ste G, Riverdale, GA 30274-2584 | 2007-08-06 |
| 1053410357 | Paul L Harvey | Internal Medicine | 483 Upper Riverdale Rd Sw Ste G, Riverdale, GA 30274-2584 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1467066639 | Luminous Care, LLC | Clinic/Center | 285 Boulevard Ne Ste 145, Atlanta, GA 30312-4204 | 2020-09-03 |
| 1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
| 1679181168 | Guardian Health Group | Clinic/Center | 6296 Cheatham Lake Dr Nw, Acworth, GA 30101-7642 | 2020-07-21 |
| 1851909857 | 100 Percent Nutrition LLC | Clinic/Center | 8425 Waldrip Rd, Gainesville, GA 30506-5774 | 2020-07-16 |
| 1487271342 | Temak Telehealth | Clinic/Center | 635 Granville Ct, Atlanta, GA 30328-3445 | 2020-06-26 |
| 1992321301 | Hope Harbor Wellness LLC | Clinic/Center | 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 | 2020-06-22 |
| 1447875307 | Georgia Palliative Services, LLC | Clinic/Center | 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 | 2020-06-16 |
| 1548884000 | 2 Wolves Inc | Clinic/Center | 783 S Main St Ste 5, Cleveland, GA 30528-4519 | 2020-06-01 |
| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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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.