P Praxis·MD
● Active Type 2 · Organization

Lotus Family Wellness Clinic, Llc

Clinic/Center·Riverdale, GA· NPI 1013497171 · Enumerated 2018 · 7 years on NPI
Lotus Family Wellness Clinic, Llc is 1 of 730 clinic/center organizations in Georgia.
NPI age
7 years
Enumerated 2018-08-17
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Owner/family Nurse Practitioner
Last NPPES update
2018-08-17
Source: monthly bulk 2026-05

How this organization compares

Across 730 active clinic/center providers in Georgia.

NPI age
7 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1240 Highway 138 Sw
Riverdale, GA 302961402
📞 4046681827
Mailing address
280 Bonnie Ln
Fayetteville, GA 302158802
📞 4046681827

Authorized official

Qiana Aidah Johnson, DNP, FNP-C
Owner/family Nurse Practitioner
📞 4046681827

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    taxonomy 261Q00000X

Identifiers

TypeValueNotes
05 (GA) 003151631F

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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