MIND AND BODY WELLNESS CENTER INC. – Urgent Care Clinic/Center, NPI 1053919225
Urgent Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MIND AND BODY WELLNESS CENTER INC.
10475 MEDLOCK BRIDGE RD STE 820
JOHNS CREEK, GA 300974437
Phone: (404) 800-5181
Fax: (404) 800-5797
Type: Location
3180 N POINT PKWY STE 302
ALPHARETTA, GA 300054381
Phone: (404) 800-5181
Fax: (404) 800-5797
Type: Location
3020 Holcomb Bridge Rd
Norcross, GA 300711375
Phone: (404) 800-5181
Fax: (404) 800-5797
Type: Location
369 Sandy Springs Circle
Sandy Springs, GA 30328
Phone: (404) 800-5181
Fax: (404) 800-5797
Type: Location
1801 PEACHTREE ST NE STE 300
ATLANTA, GA 303091859
Phone: (404) 800-5181
Fax: (404) 800-5797
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (194 days ago).
Enrollment records
2
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20201029000484 | O | Clinic/Group Practice | GA | 2025-11-30 |
| O20220211002243 | O | Clinic/Group Practice | NC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30097)
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