THE FRATERNITY MEN'S HEALTH AND WELLNESS
NPI 1013809482
Clinic/Center - Health Service in Marietta, GA
NPI Status: Active since July 18, 2025
Contact Information
540 POWDER SPRINGS ST STE B8
MARIETTA, GA
ZIP 30064
Phone: (404) 749-0571
Fax: (949) 864-3686
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 11D2327755
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 07-28-2027
About THE FRATERNITY MEN'S HEALTH AND WELLNESS
This page provides the complete NPI Profile along with additional information for The Fraternity Men's Health And Wellness, a provider established in Marietta, Georgia operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1013809482 assigned on July 2025. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. John Simuel Beasley Iii Np (Owner/nurse Practitioner)
- NPI
- 1013809482
- Provider Name
- THE FRATERNITY MEN'S HEALTH AND WELLNESS
- Entity Type
- Organization
- Location Address
- 540 POWDER SPRINGS ST STE B8 MARIETTA, GA 30064
- Location Phone
- (404) 749-0571
- Location Fax
- (949) 864-3686
- Mailing Address
- 540 POWDER SPRINGS ST STE B8 MARIETTA, GA 30064
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2025
- Last Update Date
- 08-14-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2327755
- Facility Type
- Practitioner Other
- Certificate Effective Date
- July 29, 2025
- Certificate Expiration Date
- July 28, 2027
- Laboratory Director
- JOHN BEASLEY III
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Fraternity Men's Health And Wellness to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013809482, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013809482, enumerated as an "organization" on July 18, 2025.
The provider is located at 540 POWDER SPRINGS ST STE B8 MARIETTA, GA 30064 and the phone number is (404) 749-0571.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
