NEW GENESIS CENTER FOR INTENTIONAL HEALTH & AESTHETICS
NPI 1689835571
Nurse Practitioner - Family in Thomasville, GA

Q: What is New Genesis Center For Intentional Health & Aesthetics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 23, 2008

556 HALL RD, THOMASVILLE, GA 31757(229) 228-9050(229) 228-9056 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About New Genesis Center For Intentional Health & Aesthetics NPPES

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

NEW GENESIS CENTER FOR INTENTIONAL HEALTH & AESTHETICS (NPI 1689835571) is a healthcare organization registered as a family in Thomasville, Georgia and active in the NPI registry since June 2008. The organization lists Patrice Bullock, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1689835571

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameNEW GENESIS CENTER FOR INTENTIONAL HEALTH & AESTHETICS

Location Address556 HALL RDThomasville, GA 31757-8105

Mailing Address556 Hall RdThomasville, GA 31757-8105 · (229) 228-9050 · Fax (229) 228-9056

Phone(229) 228-9050

Fax(229) 228-9056

Organization SubpartNo

Authorized OfficialPatrice BullockCo-owner · (229) 228-9050

Enumeration DateJune 23, 2008

✔ NPI 1689835571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

556 HALL RD, Thomasville, GA 31757

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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

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 New Genesis Center For Intentional Health & Aesthetics's NPI number?

The NPI number for New Genesis Center For Intentional Health & Aesthetics is 1689835571. It was assigned to this organization in the NPPES registry on June 23, 2008.

Where is New Genesis Center For Intentional Health & Aesthetics located?

New Genesis Center For Intentional Health & Aesthetics is located at 556 Hall Rd, Thomasville, GA 31757. The listed phone number is (229) 228-9050.

What is New Genesis Center For Intentional Health & Aesthetics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for New Genesis Center For Intentional Health & Aesthetics was last updated on June 23, 2008. 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.