WELLNESSONE OF STONE MOUNTAIN (NPI# 1003008426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003008426 |
| Entity Type | Organization |
| Organization Name | WELLNESSONE OF STONE MOUNTAIN |
| Practice Address |
6254 Memorial Dr Ste F Stone Mountain GA 30083-2884 |
| Mailing Address |
Po Box 672842 Marietta GA 30006-0048 |
| Practice Telephone | 7704691600 |
| Practice Fax Number | 7704692238 |
| Mailing Telephone | 7704691600 |
| Mailing Fax Number | 7704692238 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |
| Authorized Official Name | KEYSA MURRELL (HR DIRECTOR) |
| Authorized Official Telephone | 7708500857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO06423 | GA | Chiropractic Providers |
| Street Address |
6254 MEMORIAL DR STE F |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-2884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083879621 | Shawanica L Roberts | Chiropractor | 6254 Memorial Dr Ste F, Stone Mountain, GA 30083-2884 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578029310 | Anthony Weston | Chiropractor | 5050 Memorial Dr, Stone Mountain, GA 30083-3109 | 2019-02-18 |
| 1851745301 | Daniel Bartlette Evans | Chiropractor | 5646 Brady Dr, Stone Mountain, GA 30087-3009 | 2016-04-21 |
| 1033577952 | Quannesha Trimble | Chiropractor | 4437 Dallis Ct, Stone Mountain, GA 30083-3274 | 2016-02-05 |
| 1821339375 | John W Boyer | Chiropractor | 1571 Barrington Vw, Stone Mountain, GA 30087-1846 | 2013-03-08 |
| 1295912962 | Wholistic Living Inc. | Chiropractor | 4821 Rockbridge Rd, Suite 10, Stone Mountain, GA 30083-6148 | 2008-01-24 |
| 1952514945 | Marina Leigh Harris | Chiropractor | 2046 W Park Place Blvd, Suite G, Stone Mountain, GA 30087-3536 | 2007-05-07 |
| 1356565592 | Wellness One Stone Mountain | Chiropractor | 6254 Memorial Drive, Suite F, Stone Mountain, GA 30083 | 2007-04-12 |
| 1124158266 | Charles R Wilkerson | Chiropractor | 1230 S Hairston Rd, Suite 8, Stone Mountain, GA 30088-2719 | 2007-03-07 |
| 1033260443 | Michael Moccio | Chiropractor | 4466 Rockbridge Rd, Stone Mountain, GA 30083-4254 | 2007-01-13 |
| 1922163047 | Steven B Barnett | Chiropractor | 5385 Five Forks Trickum Road, Stone Mountain, GA 30087 | 2006-12-27 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on WELLNESSONE OF STONE MOUNTAIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.