SOUL SERENE WELLNESS AND MEDSPA LLC
NPI 1851118772
Nurse Practitioner - Adult Health in South Fulton, GA
About Soul Serene Wellness And Medspa Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUL SERENE WELLNESS AND MEDSPA LLC (NPI 1851118772) is a healthcare organization registered as an adult health in South Fulton, Georgia and active in the NPI registry since September 2024. The organization lists Sherdina Q Hobson, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soul Serene Wellness And Medspa 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 Soul Serene Wellness And Medspa LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Soul Serene Wellness And Medspa LLC's NPI number?
The NPI number for Soul Serene Wellness And Medspa LLC is 1851118772. It was assigned to this organization in the NPPES registry on September 23, 2024.
Where is Soul Serene Wellness And Medspa LLC located?
Soul Serene Wellness And Medspa LLC is located at 5835 Campbellton Rd SW Ste 103, South Fulton, GA 30331. The listed phone number is (404) 549-2505.
What is Soul Serene Wellness And Medspa LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Soul Serene Wellness And Medspa LLC enrolled in Medicare?
Yes. Soul Serene Wellness And Medspa LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Soul Serene Wellness And Medspa LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Soul Serene Wellness And Medspa 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 Soul Serene Wellness And Medspa LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Soul Serene Wellness And Medspa Llc · NPI 1851118772
Adult Health organization in South Fulton, Georgia. Organization record, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1851118772 (Entity type: Organization)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Sherdina Hobson, NURSE PRACTITIONER
## Practice location
- **Address:** 5835 CAMPBELLTON RD SW STE 103, South Fulton, GA 30331-8014
- **Phone:** (404) 549-2505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1851118772) · Data from the CMS NPPES public registry.