● Active Type 2 · Organization
Bioserenity Dt Inc.
Clinic/Center·Atlanta, GA· NPI 1992826689
·
Enumerated 2007 · 19 years on NPI
Bioserenity Dt Inc. is 1 of 125 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2007-04-02
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shock
Evp Clinical Operations
Last NPPES update
2022-10-12
Source: monthly bulk 2026-05
How this organization compares
Across 125 active clinic/center providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2675 Paces Ferry Rd Se Ste 150
Atlanta, GA 303394099
📞 7708280052
Mailing address
99 Rosewood Dr Ste 245
Danvers, MA 019234537
📞 9785367400fax 9785359778
Authorized official
Janice Shock
Evp Clinical Operations
📞 2145323757
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QS1200X
Identifiers
| Type | Value | Notes |
| 01 (GA) |
1640523 |
UNITED HEALTHCARE |
| 01 (GA) |
470001550 |
RR MEDICARE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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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.