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CARL BEAN MENS HEALTH AND WELLNESS CENTER INC
NPI 1134775208
Clinic/Center in Atlanta, GA

Active since August 14, 2019CLIA 11D2204079 · Waiver
2140 M L KING JR DR SW, 2140 M L KING JR DR SW-BLDG. B, ATLANTA, GA 30310(404) 609-3197(404) 691-8809 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2025, Jun 17, 2024, Jun 1, 2023 and 1 more (4 updates tracked since 2019).

About Carl Bean Mens Health And Wellness Center Inc NPPES

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

CARL BEAN MENS HEALTH AND WELLNESS CENTER INC (NPI 1134775208), doing business as Naesm Mens Health And Wellness Center, is a healthcare organization registered as a clinic/center in Atlanta, Georgia and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Rudolph H Carn, President/board Chair, as its authorized official.

NPPES Registry Identity

NPI1134775208
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCARL BEAN MENS HEALTH AND WELLNESS CENTER INC
Location Address2140 M L KING JR DR SW, 2140 M L KING JR DR SW-BLDG. BAtlanta, GA 30310-1134
Mailing Address2140 M L King Jr Dr Sw, Bldg. BAtlanta, GA 30310-1134 · (404) 660-0527 · Fax (404) 691-8809
Phone(404) 609-3197
Fax(404) 691-8809
Organization SubpartNo
Authorized OfficialRudolph H CarnPresident/board Chair · (404) 660-0527
Enumeration DateAugust 14, 2019
Last NPPES UpdateMarch 10, 20254 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1134775208 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).
2140 M L KING JR DR SW, Atlanta, GA 30310
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Other Names 1

Former Legal Business NameNaesm Mens Health And Wellness Center

Other Identifiers 1

Other123456Fee For Services

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 11D2204079

Carl Bean Men's Health And Wellness Center · Atlanta, GA
Active · expires Dec 7, 2026
CLIA Number11D2204079
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorDewayne Crowder
Laboratory Phone(404) 609-3197
Laboratory LocationCarl Bean Men's Health And Wellness Center2140 Martin Luther King Jr Drive, SW, Atlanta, GA 30310
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Carl Bean Mens Health And Wellness Center Inc's NPI number?

The NPI number for Carl Bean Mens Health And Wellness Center Inc is 1134775208. It was assigned to this organization in the NPPES registry on August 14, 2019. The provider was formerly known as NAESM Mens Health and Wellness Center.

Where is Carl Bean Mens Health And Wellness Center Inc located?

Carl Bean Mens Health And Wellness Center Inc is located at 2140 M L King Jr Dr SW 2140 M L King Jr Dr Sw-Bldg. B, Atlanta, GA 30310. The listed phone number is (404) 609-3197.

What is Carl Bean Mens Health And Wellness Center Inc's specialty?

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

Does Carl Bean Mens Health And Wellness Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2204079) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carl Bean Mens Health And Wellness Center Inc was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.