REAL WELLNESS ENTERPRISES LLC
NPI 1629930938
Family Medicine in Atlanta, GA

Active since November 25, 2025
755 MOUNT VERNON HWY NE STE 540, ATLANTA, GA 30328(404) 464-8749(678) 973-2735 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Real Wellness Enterprises Llc NPPES

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

REAL WELLNESS ENTERPRISES LLC (NPI 1629930938) is a healthcare organization registered as a family medicine in Atlanta, Georgia and active in the NPI registry since November 2025. The organization lists Jada Moore-ruffin, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1629930938
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREAL WELLNESS ENTERPRISES LLC
Location Address755 MOUNT VERNON HWY NE STE 540Atlanta, GA 30328-4279
Mailing Address755 Mount Vernon Hwy Ne Ste 540Atlanta, GA 30328-4279 · (404) 464-8749 · Fax (678) 973-2735
Fax(678) 973-2735
Organization SubpartNo
Authorized OfficialJada Moore-ruffinPhysician/owner · (404) 667-6534
Enumeration DateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1629930938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
755 MOUNT VERNON HWY NE STE 540, Atlanta, GA 30328

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Real Wellness Enterprises Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Real Wellness Enterprises LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1447232103
5900 HILLANDALE DR SUITE 215
Lithonia, GA 30058
(770) 322-9660
✔ PECOS20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Real Wellness Enterprises LLC's NPI number?

The NPI number for Real Wellness Enterprises LLC is 1629930938. It was assigned to this organization in the NPPES registry on November 25, 2025.

Where is Real Wellness Enterprises LLC located?

Real Wellness Enterprises LLC is located at 755 Mount Vernon Hwy NE Ste 540, Atlanta, GA 30328. The listed phone number is (404) 464-8749.

What is Real Wellness Enterprises LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Real Wellness Enterprises LLC enrolled in Medicare?

Yes. Real Wellness Enterprises LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Real Wellness Enterprises LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Real Wellness Enterprises LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Real Wellness Enterprises LLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.