LODEBAR HEALTH AND WELLNESS CLINIC LLC
NPI 1871399212
Nurse Practitioner - Primary Care in Atlanta, GA
About Lodebar Health And Wellness Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LODEBAR HEALTH AND WELLNESS CLINIC LLC (NPI 1871399212) is a healthcare organization registered as a primary care in Atlanta, Georgia and active in the NPI registry since February 2025. The organization lists Emmanuela C Conseillant, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lodebar Health And Wellness Clinic 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 Lodebar Health And Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Atlanta, GA 30331
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 Lodebar Health And Wellness Clinic LLC's NPI number?
The NPI number for Lodebar Health And Wellness Clinic LLC is 1871399212. It was assigned to this organization in the NPPES registry on February 24, 2025.
Where is Lodebar Health And Wellness Clinic LLC located?
Lodebar Health And Wellness Clinic LLC is located at 2945 Stone Hogan Connector Rd SW Ste 205, Atlanta, GA 30331. The listed phone number is (229) 234-9695.
What is Lodebar Health And Wellness Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Lodebar Health And Wellness Clinic LLC enrolled in Medicare?
Yes. Lodebar Health And Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lodebar Health And Wellness Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lodebar Health And Wellness Clinic 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 Lodebar Health And Wellness Clinic LLC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Lodebar Health And Wellness Clinic Llc · NPI 1871399212
Primary Care organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since February 24, 2025.
## Identity
- **NPI:** 1871399212 (Entity type: Organization)
- **Enumerated:** February 24, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Emmanuela Conseillant, PROVIDER
## Practice location
- **Address:** 2945 STONE HOGAN CONNECTOR RD SW STE 205, Atlanta, GA 30331-2839
- **Phone:** (229) 234-9695
## 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:** February 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871399212) · Data from the CMS NPPES public registry.