Provider Demographics
NPI:1639840556
Name:CONSULT WITH ME HEALTH & WHOLENESS PC
Entity Type:Organization
Organization Name:CONSULT WITH ME HEALTH & WHOLENESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTE
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:270-987-1338
Mailing Address - Street 1:2274 SALEM RD SE STE 106-238
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-2097
Mailing Address - Country:US
Mailing Address - Phone:770-261-1108
Mailing Address - Fax:
Practice Address - Street 1:1970 MAIN ST E STE B3
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6463
Practice Address - Country:US
Practice Address - Phone:470-467-4680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003246533AMedicaid
FL11015245OtherTELEHEALTH
KY3014745OtherTELEHEALTH