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PHOENIX WELLNESS CENTER LLC
NPI 1316135643
General Practice in Atlanta, GA

Active since October 11, 2007
142 MITCHELL ST SW, SUITE 200, ATLANTA, GA 30303(404) 584-2105(404) 584-2106 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Wellness Center Llc NPPES

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

PHOENIX WELLNESS CENTER LLC (NPI 1316135643) is a healthcare organization registered as a general practice in Atlanta, Georgia and active in the NPI registry since October 2007. The organization lists Fabian Centeno, President, as its authorized official.

NPPES Registry Identity

NPI1316135643
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePHOENIX WELLNESS CENTER LLC
Location Address142 MITCHELL ST SW, SUITE 200Atlanta, GA 30303-3439
Mailing Address142 Mitchell St Sw, Suite 200Atlanta, GA 30303-3439 · (404) 584-2105 · Fax (404) 584-2106
Phone(404) 584-2105
Fax(404) 584-2106
Organization SubpartNo
Authorized OfficialFabian CentenoPresident · (404) 584-2105
Enumeration DateOctober 11, 2007
✔ NPI 1316135643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
142 MITCHELL ST SW, Atlanta, GA 30303
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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

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.

DR. ADEDAMOLA ONI MD
Internal Medicine
142 MITCHELL ST SW, LL1
ATLANTA, GA 30303
Fulton County (404) 688-2099
STANFORD MEDICAL GROUP, INC
General Practice
142 MITCHELL ST SW, SUITE 200
ATLANTA, GA 30303
Fulton County (404) 584-2105

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 Phoenix Wellness Center LLC's NPI number?

The NPI number for Phoenix Wellness Center LLC is 1316135643. It was assigned to this organization in the NPPES registry on October 11, 2007.

Where is Phoenix Wellness Center LLC located?

Phoenix Wellness Center LLC is located at 142 Mitchell St SW Suite 200, Atlanta, GA 30303. The listed phone number is (404) 584-2105.

What is Phoenix Wellness Center LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Wellness Center LLC was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.