THE FRATERNITY MEN'S HEALTH AND WELLNESS
NPI 1013809482
Clinic/Center - Health Service in Marietta, GA

Q: What is The Fraternity Men's Health And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since July 18, 2025CLIA 11D2327755 · Waiver

540 POWDER SPRINGS ST STE B8, MARIETTA, GA 30064(404) 749-0571(949) 864-3686 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About The Fraternity Men's Health And Wellness NPPES

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

THE FRATERNITY MEN'S HEALTH AND WELLNESS (NPI 1013809482) is a healthcare organization registered as a health service in Marietta, Georgia and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists John Simuel Beasley, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1013809482

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameTHE FRATERNITY MEN'S HEALTH AND WELLNESS

Location Address540 POWDER SPRINGS ST STE B8Marietta, GA 30064-3560

Mailing Address540 Powder Springs St Ste B8Marietta, GA 30064-3560

Phone(404) 749-0571

Fax(949) 864-3686

Organization SubpartNo

Authorized OfficialJohn Simuel BeasleyOwner/nurse Practitioner · (404) 749-0571

Enumeration DateJuly 18, 2025

Last NPPES UpdateAugust 14, 2025

NPPES CertifiedAugust 14, 2025

✔ NPI 1013809482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

Also ListedNurse PractitionerTaxonomy 363L00000X

540 POWDER SPRINGS ST STE B8, Marietta, GA 30064

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2327755

The Fraternity Men's Health And Wellness · Marietta, GA

Active · expires Jul 28, 2027

CLIA Number11D2327755

Laboratory TypePractitioner Other

Certificate Effective DateJuly 29, 2025

Certificate Expiration DateJuly 28, 2027

Laboratory DirectorJohn Beasley III

Laboratory Phone(980) 380-5618

Laboratory LocationThe Fraternity Men's Health And Wellness540 Powder Springs Street, Suite B8, Marietta, GA 30064

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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.

MR. JOHN SIMUEL BEASLEY III NP

Nurse Practitioner

540 POWDER SPRINGS ST STE B8
MARIETTA, GA 30064

Cobb County (404) 749-0571

BEYONDMED LLC

Clinic/Center (Primary Care)

540 POWDER SPRINGS ST STE B8
MARIETTA, GA 30064

Cobb County (678) 680-3750

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 The Fraternity Men's Health And Wellness's NPI number?

The NPI number for The Fraternity Men's Health And Wellness is 1013809482. It was assigned to this organization in the NPPES registry on July 18, 2025.

Where is The Fraternity Men's Health And Wellness located?

The Fraternity Men's Health And Wellness is located at 540 Powder Springs St Ste B8, Marietta, GA 30064. The listed phone number is (404) 749-0571.

What is The Fraternity Men's Health And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does The Fraternity Men's Health And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2327755) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Fraternity Men's Health And Wellness was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.