Healthcare Provider Details

I. General information

NPI: 1841128832
Provider Name (Legal Business Name): STAT WELLNESS SANDY SPRINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4651 ROSWELL RD STE B103
ATLANTA GA
30342-3054
US

IV. Provider business mailing address

4651 ROSWELL RD STE B103
ATLANTA GA
30342-3054
US

V. Phone/Fax

Practice location:
  • Phone: 404-254-5905
  • Fax: 833-503-3950
Mailing address:
  • Phone: 404-254-5905
  • Fax: 833-503-3950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTIN CORBIN OJA
Title or Position: CEO AND FOUNDER
Credential: DNP
Phone: 404-254-5905