MIND AND BODY WELLNESS CENTER INC.
NPI 1053919225
Clinic/Center - Urgent Care in Johns Creek, GA
NPI Status: Active since October 11, 2020
Contact Information
10475 MEDLOCK BRIDGE RD STE 820
JOHNS CREEK, GA
ZIP 30097
Phone: (404) 800-5181
Fax: (404) 800-5797
- Organization
- Clinic/Center
- Urgent Care
- Accepts Insurance
- CLIA Number: 11D2214764
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-24-2027
About MIND AND BODY WELLNESS CENTER INC.
This page provides the complete NPI Profile along with additional information for Mind And Body Wellness Center Inc., a provider established in Johns Creek, Georgia operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1053919225 assigned on October 2020. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. Mind And Body Wellness Center Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Moshe Bachar Md (Physician)
- NPI
- 1053919225
- Provider Name
- MIND AND BODY WELLNESS CENTER INC.
- Entity Type
- Organization
- Location Address
- 10475 MEDLOCK BRIDGE RD STE 820 JOHNS CREEK, GA 30097
- Location Phone
- (404) 800-5181
- Location Fax
- (404) 800-5797
- Mailing Address
- 1801 PEACHTREE ST NE STE 300 ATLANTA, GA 30309
- Mailing Phone
- (404) 800-5181
- Mailing Fax
- (404) 800-5797
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2020
- Last Update Date
- 08-14-2024
- Code Navigator
Location Map
Secondary Locations
- 369 Sandy Springs Circle
Sandy Springs, GA 30328
(404) 800-5181 - 3020 Holcomb Bridge Rd
Norcross, GA 30071
(404) 800-5181
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2214764
- Facility Type
- Physician Office
- Certificate Effective Date
- February 25, 2025
- Certificate Expiration Date
- February 24, 2027
- Laboratory Director
- MOSHE BACHAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mind And Body Wellness Center Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MIND AND BODY WELLNESS CENTER INC.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 9 | 1 | 9 | 2 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 18 | 1 | 18 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 1 + 8 + 1 + 1 + 8 + 2 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1053919225 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093336331 | NORTH GEORGIA ENDOCRINOLOGY Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 10475 MEDLOCK BRIDGE RD STE 820 JOHNS CREEK, GA 30097 (678) 224-8686 |
| 1639850977 | JASMINE DEIDRE HENRY NP Individual | Nurse Practitioner (Family) | 10475 MEDLOCK BRIDGE RD STE 820 JOHNS CREEK, GA 30097 (404) 800-5181 |
| 1669736559 | MOSHE BACHAR M.D. Individual | Internal Medicine (Addiction Medicine) | 10475 MEDLOCK BRIDGE RD STE 820 JOHNS CREEK, GA 30097 (404) 800-5181 |
| 1841083110 | CAMILLA CRISTINA MARINO RN Individual | Dermatology (Procedural Dermatology) | 10475 MEDLOCK BRIDGE RD STE 820 JOHNS CREEK, GA 30097 (678) 224-8686 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053919225, enumerated in the NPI registry as an "organization" on October 11, 2020
The provider is located at 10475 Medlock Bridge Rd Ste 820 Johns Creek, Ga 30097 and the phone number is (404) 800-5181
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D2214764 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 11, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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