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MIND AND BODY WELLNESS CENTER INC.
NPI 1053919225
Clinic/Center - Urgent Care in Johns Creek, GA

Active since October 11, 2020CLIA 11D2214764 · Waiver
10475 MEDLOCK BRIDGE RD STE 820, JOHNS CREEK, GA 30097(404) 800-5181(404) 800-5797 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Feb 10, 2022, Oct 13, 2020 and 1 more (4 updates tracked since 2020).

About Mind And Body Wellness Center Inc. NPPES

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

MIND AND BODY WELLNESS CENTER INC. (NPI 1053919225) is a healthcare organization registered as an urgent care in Johns Creek, Georgia and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 24, 2027, maintains 2 additional practice locations, and lists Moshe Bachar, Physician, as its authorized official.

NPPES Registry Identity

NPI1053919225
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMIND AND BODY WELLNESS CENTER INC.
Location Address10475 MEDLOCK BRIDGE RD STE 820Johns Creek, GA 30097-4437
Mailing Address1801 Peachtree St Ne Ste 300Atlanta, GA 30309-1859 · (404) 800-5181 · Fax (404) 800-5797
Phone(404) 800-5181
Fax(404) 800-5797
Organization SubpartNo
Authorized OfficialMoshe BacharPhysician · (404) 800-5181
Enumeration DateOctober 11, 2020
Last NPPES UpdateAugust 14, 20244 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1053919225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
10475 MEDLOCK BRIDGE RD STE 820, Johns Creek, GA 30097
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13020 Holcomb Bridge RdNorcross, GA 30071-1375 · Phone (404) 800-5181 · Fax (404) 800-5797
Location 2369 Sandy Springs CircleSandy Springs, GA 30328 · Phone (404) 800-5181 · Fax (404) 800-5797

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2214764

Mind And Body Wellness Center, PC · Johns Creek, GA
Active · expires Feb 24, 2027
CLIA Number11D2214764
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorMoshe Bachar
Laboratory Phone(404) 800-5181
Laboratory LocationMind And Body Wellness Center, PC10475 Medlock Bridge Road, Bldg 800, Suite 820, Johns Creek, GA 30097
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

NORTH GEORGIA ENDOCRINOLOGY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10475 MEDLOCK BRIDGE RD STE 820
JOHNS CREEK, GA 30097
Gwinnett County (678) 224-8686
MADISON EXUM PA-C
Physician Assistant
10475 MEDLOCK BRIDGE RD STE 820
JOHNS CREEK, GA 30097
Gwinnett County (678) 224-8686
CAMILLA CRISTINA MARINO RN
Dermatology (Procedural Dermatology)
10475 MEDLOCK BRIDGE RD STE 820
JOHNS CREEK, GA 30097
Gwinnett County (678) 224-8686

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 Mind And Body Wellness Center Inc.'s NPI number?

The NPI number for Mind And Body Wellness Center Inc. is 1053919225. It was assigned to this organization in the NPPES registry on October 11, 2020.

Where is Mind And Body Wellness Center Inc. located?

Mind And Body Wellness Center Inc. is located at 10475 Medlock Bridge Rd Ste 820, Johns Creek, GA 30097. The listed phone number is (404) 800-5181.

What is Mind And Body Wellness Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Mind And Body Wellness Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2214764) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mind And Body Wellness Center Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mind And Body Wellness Center Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mind And Body Wellness Center Inc. was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.