| Mind And Body Wellness Center Inc. | |
|
3180 N Point Pkwy Ste 302 Alpharetta GA 30005-4381 | |
| (404) 800-5181 | |
| (404) 800-5797 |
| Full Name | Mind And Body Wellness Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3180 N Point Pkwy Ste 302, Alpharetta, Georgia |
| Authorized Official Name and Position | Moshe Bachar (PHYSICIAN) |
| Authorized Official Contact | 4048005181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Body Wellness Center Inc. 3180 N Point Pkwy Ste 302 Alpharetta GA 30005-4381 Ph: (678) 224-8686 | Mind And Body Wellness Center Inc. 3180 N Point Pkwy Ste 302 Alpharetta GA 30005-4381 Ph: (404) 800-5181 |
| NPI Number | 1053919225 |
|---|---|
| Provider Enumeration Date | 10/11/2020 |
| Last Update Date | 02/10/2022 |
| Medicare PECOS PAC ID | 5698185809 |
|---|---|
| Medicare Enrollment ID | O20201029000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053919225 | NPI | - | NPPES |
| Provider Name | Michael J Nitzken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396844437 PECOS PAC ID: 1951471796 Enrollment ID: I20080605000006 |
| Provider Name | Michelle S Wansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043467608 PECOS PAC ID: 3173675733 Enrollment ID: I20090714000229 |
| Provider Name | Alan Maloon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093808057 PECOS PAC ID: 6103012802 Enrollment ID: I20101119000948 |
| Provider Name | Anbar Ahmad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861703159 PECOS PAC ID: 5294978946 Enrollment ID: I20151112001815 |
| Provider Name | Moshe Bachar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669736559 PECOS PAC ID: 6204075856 Enrollment ID: I20160223000913 |
| Provider Name | Jeunese A Forchin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689052656 PECOS PAC ID: 0143531251 Enrollment ID: I20180103001729 |
| Provider Name | Caleb C Magistro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366976987 PECOS PAC ID: 0042567133 Enrollment ID: I20180720000273 |
| Provider Name | Janeen Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619337714 PECOS PAC ID: 5890125728 Enrollment ID: I20200416003957 |
| Provider Name | Shannon Twanita Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194183475 PECOS PAC ID: 7214232982 Enrollment ID: I20201210000361 |
| Provider Name | Angela Tope Mcnealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790383776 PECOS PAC ID: 2062827868 Enrollment ID: I20210208002396 |
| Provider Name | Brett Mitchell Cansler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649856980 PECOS PAC ID: 0840688784 Enrollment ID: I20211027000413 |
| Provider Name | Nadine Opong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871258251 PECOS PAC ID: 2163813692 Enrollment ID: I20211217000007 |
| Provider Name | Nathacha Lorquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407481864 PECOS PAC ID: 5698168086 Enrollment ID: I20220208000205 |
| Provider Name | Katherine Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598333213 PECOS PAC ID: 9436545092 Enrollment ID: I20220407000160 |
| Provider Name | English Wilson Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497415301 PECOS PAC ID: 3375928096 Enrollment ID: I20220916001084 |
| Provider Name | Danielle Joyce Broadnax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164130860 PECOS PAC ID: 3173991833 Enrollment ID: I20221130001948 |
| Provider Name | Porshay R Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821682923 PECOS PAC ID: 1658738588 Enrollment ID: I20230607002217 |
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