NPI age
4 years
Enumerated 2021-10-18
● Active Type 2 · Organization
Ultimate Hydration And Wellness Clinic Llc
Ultimate Hydration And Wellness Clinic Llc is 1 of 37 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Osibanjo
Owner/member
Last NPPES update
2021-10-18
Source: monthly bulk 2026-05
How this organization compares
Across 37 active clinic/center providers in Georgia.
NPI age
4 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1905 Woodstock Rd Ste 6100
Roswell, GA 300755630
Mailing address
1905 Woodstock Rd Ste 6100
Roswell, GA 300755630
Authorized official
Folake Osibanjo, NP-C
Owner/member
📞 2034503051
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.