LOTUS FAMILY WELLNESS CLINIC, LLC
NPI 1013497171
Clinic/Center in Riverdale, GA

Active since August 17, 2018
1240 HIGHWAY 138 SW, RIVERDALE, GA 30296(404) 668-1827 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lotus Family Wellness Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOTUS FAMILY WELLNESS CLINIC, LLC (NPI 1013497171) is a healthcare organization registered as a clinic/center in Riverdale, Georgia and active in the NPI registry since August 2018. The organization lists Qiana Aidah Johnson, Owner/family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1013497171
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLOTUS FAMILY WELLNESS CLINIC, LLC
Location Address1240 HIGHWAY 138 SWRiverdale, GA 30296-1402
Mailing Address280 Bonnie LnFayetteville, GA 30215-8802 · (404) 668-1827
Organization SubpartNo
Authorized OfficialQiana Aidah JohnsonOwner/family Nurse Practitioner · (404) 668-1827
Enumeration DateAugust 17, 2018
NPI 1013497171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1240 HIGHWAY 138 SW, Riverdale, GA 30296

Other Identifiers 1

Medicaid003151631FGA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1240 HIGHWAY 138 SW
RIVERDALE, GA 30296
Clinical Medical Laboratory
1240 HIGHWAY 138 SW
RIVERDALE, GA 30296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lotus Family Wellness Clinic, LLC's NPI number?

The NPI number for Lotus Family Wellness Clinic, LLC is 1013497171. It was assigned to this organization in the NPPES registry on August 17, 2018.

Where is Lotus Family Wellness Clinic, LLC located?

Lotus Family Wellness Clinic, LLC is located at 1240 Highway 138 SW, Riverdale, GA 30296. The listed phone number is (404) 668-1827.

What is Lotus Family Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lotus Family Wellness Clinic, LLC was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.