P Praxis·MD
● Active Type 2 · Organization

Lilac Wellness And Spa Llc

Nurse Practitioner·Tucker, GA· NPI 1750075776 · Enumerated 2023 · 2 years on NPI
Lilac Wellness And Spa Llc is 1 of 1622 nurse practitioner organizations in Georgia.
NPI age
2 years
Enumerated 2023-06-05
Primary specialty
Nurse Practitioner
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ogunniyi
President
Last NPPES update
2024-02-28
Source: monthly bulk 2026-05

How this organization compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
2 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 37% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-06Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
1841 Montreal Rd Ste 111
Tucker, GA 300845712
📞 4708719105
Mailing address
3050 Five Forks Trickum Rd Sw Ste D454
Lilburn, GA 300471810
📞 4708719105

Authorized official

Lola Ogunniyi
President
📞 4047258455

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0808X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    taxonomy 163W00000X
  • Registered Nurse
    Definition to come...
    taxonomy 163WI0500X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Lilac Wellness and Spa
    Type code 5 recorded 2024-02-28
  • Lilac Wellness and Spa
    Type code 5 recorded 2023-06-03

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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