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ESSENTIA INTIMA LLC
NPI 1275356826
Clinic/Center - Medical Specialty in Fayetteville, GA

Active since November 04, 2024
600 LANIER AVE W STE 203, FAYETTEVILLE, GA 30214(909) 994-1048 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Essentia Intima Llc NPPES

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

ESSENTIA INTIMA LLC (NPI 1275356826) is a healthcare organization registered as a medical specialty in Fayetteville, Georgia and active in the NPI registry since November 2024. The organization lists Ijeoma Okwandu, Cmo, as its authorized official.

NPPES Registry Identity

NPI1275356826
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameESSENTIA INTIMA LLC
Location Address600 LANIER AVE W STE 203Fayetteville, GA 30214-1833
Mailing Address600 Lanier Ave W Ste 203Fayetteville, GA 30214-1833 · (909) 994-1048
Phone(909) 994-1048
Organization SubpartNo
Authorized OfficialIjeoma OkwanduCmo · (909) 994-1048
Enumeration DateNovember 4, 2024
NPPES CertifiedNovember 3, 2024
✔ NPI 1275356826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
600 LANIER AVE W STE 203, Fayetteville, GA 30214
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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.

IJEOMA OKWANDU BELLO
Obstetrics & Gynecology
600 LANIER AVE W STE 203
FAYETTEVILLE, GA 30214
Fayette County (678) 990-9468
FAYETTE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
600 LANIER AVE W STE 203
FAYETTEVILLE, GA 30214
Fayette County (678) 470-4280

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 Essentia Intima LLC's NPI number?

The NPI number for Essentia Intima LLC is 1275356826. It was assigned to this organization in the NPPES registry on November 4, 2024.

Where is Essentia Intima LLC located?

Essentia Intima LLC is located at 600 Lanier Ave W Ste 203, Fayetteville, GA 30214. The listed phone number is (909) 994-1048.

What is Essentia Intima LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Essentia Intima LLC was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.