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ATLANTA LIFESTYLE MEDICINE
NPI 1609194620
Preventive Medicine - Public Health & General Preventive Medicine in Atlanta, GA

Active since May 14, 2010
131 PONCE DE LEON AVE NE, SUITE 230, ATLANTA, GA 30308(404) 769-3928 Get Directions Write a Review

NPPES record last updated: May 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atlanta Lifestyle Medicine NPPES

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

ATLANTA LIFESTYLE MEDICINE (NPI 1609194620) is a healthcare organization registered as a public health & general preventive medicine in Atlanta, Georgia and active in the NPI registry since May 2010. The organization lists Jennifer Rooke, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1609194620
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameATLANTA LIFESTYLE MEDICAL CENTER
Location Address131 PONCE DE LEON AVE NE, SUITE 230Atlanta, GA 30308-1962
Mailing Address6090 Indian Wood Cir SeMableton, GA 30126-2969 · (404) 691-4549
Phone(404) 769-3928
Organization SubpartNo
Authorized OfficialJennifer RookeMedical Director · (404) 769-3928
Enumeration DateMay 14, 2010
✔ NPI 1609194620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in GA · 033801
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
131 PONCE DE LEON AVE NE, Atlanta, GA 30308
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Other Names 1

Doing Business AsAtlanta Lifestyle Medicine

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 3

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

EZECHA ENTERPRISES, LTD
Durable Medical Equipment & Medical Supplies
131 PONCE DE LEON AVE NE, STE 226
ATLANTA, GA 30308
Fulton County (404) 810-9140
MS. PHYLLIS MARGARET DOWDEN FNP-BC
Nurse Practitioner (Family)
131 PONCE DE LEON AVE NE, 230
ATLANTA, GA 30308
Fulton County (404) 607-9737
DR. DEBRA A DANTZLER PH.D., LPC
Counselor (Professional)
131 PONCE DE LEON AVE NE, SUITE 233
ATLANTA, GA 30308
Fulton County (404) 272-2770

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 Atlanta Lifestyle Medical Center's NPI number?

The NPI number for Atlanta Lifestyle Medical Center is 1609194620. It was assigned to this organization in the NPPES registry on May 14, 2010. The provider is doing business as Atlanta Lifestyle Medicine.

Where is Atlanta Lifestyle Medical Center located?

Atlanta Lifestyle Medical Center is located at 131 Ponce De Leon Ave NE Suite 230, Atlanta, GA 30308. The listed phone number is (404) 769-3928.

What is Atlanta Lifestyle Medical Center's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Atlanta Lifestyle Medical Center was last updated on May 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.