NPI age
11 years
Enumerated 2014-06-19
● Active Type 2 · Organization
Advanced Medical Weight Loss Center
Advanced Medical Weight Loss Center is 1 of 41 allergy & immunology organizations in Georgia.
Primary specialty
Allergy & Immunology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Owner
Last NPPES update
2014-06-19
Source: monthly bulk 2026-05
How this organization compares
Across 41 active allergy & immunology providers in Georgia.
NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1100 Spring St Nw, Suite 150
Atlanta, GA 303092846
Mailing address
1490 Lane Creek Rd
Bogart, GA 306222627
Authorized official
Jennifer Jane Clark
Owner
📞 6782940444
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Sandra Crowder, LCSW Social Worker NPI 1407256332
- Jaclyn Devore, MS, NCC Counselor NPI 1700268877
- Cleve Taylor, D.C. Chiropractor NPI 1053543033
- Rene Wiggins, MSW Social Worker NPI 1982331773
Specialties
-
Allergy & Immunology PrimaryA physician who specializes in the diagnosis, treatment, and management of allergies.
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.