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SERENITYMED RECOVERY, LLC
NPI 1093494841
Nurse Practitioner - Family in Atlanta, GA

Active since July 17, 2023
1954 AIRPORT RD # 670, ATLANTA, GA 30341(678) 250-4659(404) 868-5162 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2025, Jul 17, 2023 (2 updates tracked since 2023).

About Serenitymed Recovery, Llc NPPES

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

SERENITYMED RECOVERY, LLC (NPI 1093494841) is a healthcare organization registered as a family in Atlanta, Georgia and active in the NPI registry since July 2023. The organization lists Erica Chanise Bolar, Owner, as its authorized official.

NPPES Registry Identity

NPI1093494841
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSERENITYMED RECOVERY, LLC
Location Address1954 AIRPORT RD # 670Atlanta, GA 30341-4956
Mailing Address4027 Caitlyn PlDoraville, GA 30360-3225 · (404) 451-7529 · Fax (404) 868-5162
Phone(678) 250-4659
Fax(404) 868-5162
Organization SubpartNo
Authorized OfficialErica Chanise BolarOwner · (678) 250-4659
Enumeration DateJuly 17, 2023
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1093494841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1954 AIRPORT RD # 670, Atlanta, GA 30341
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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

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 Serenitymed Recovery, LLC's NPI number?

The NPI number for Serenitymed Recovery, LLC is 1093494841. It was assigned to this organization in the NPPES registry on July 17, 2023.

Where is Serenitymed Recovery, LLC located?

Serenitymed Recovery, LLC is located at 1954 Airport Rd # 670, Atlanta, GA 30341. The listed phone number is (678) 250-4659.

What is Serenitymed Recovery, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Serenitymed Recovery, LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.