WELLSTAR POWDER SPRINGS MEDICAL CENTER, LLC (NPI# 1184671273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184671273 |
| Entity Type | Organization |
| Organization Name | WELLSTAR POWDER SPRINGS MEDICAL CENTER, LLC |
| Practice Address |
4250 Brownsville Rd Powder Springs GA 30127-2559 |
| Practice Telephone | 6785678000 |
| Practice Fax Number | 7704393555 |
| Mailing Telephone | 6785678000 |
| Mailing Fax Number | 7704393555 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7707925261 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLSTAR HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4250 BROWNSVILLE RD |
| City | POWDER SPRINGS |
| State | GA |
| Zip Code | 30127-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896293 | Christopher R Wizner | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2005-10-27 |
| 1417244971 | Julie Patel | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2011-07-06 |
| 1093011603 | Wellstar Medical Group, LLC | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2011-01-28 |
| 1366767444 | Georgia Forrest | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2010-04-01 |
| 1124290549 | Jeffrey Layne Cox | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127 | 2008-03-25 |
| 1013908128 | Michael W Christa | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2005-10-31 |
| 1912997206 | Della Lertpenmaeta | Nurse Practitioner | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2005-10-27 |
| 1467442756 | Linda R Cowart | Nurse Practitioner | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580935 | Judette Barthelemy | Nurse Practitioner | 5280 Jones Reserve Walk, Powder Springs, GA 30127 | 2018-09-06 |
| 1174049837 | Patricia Anderson | Home Health Aide | 4089 Sweetsprings Terrace Southwest, Powder Springs, GA 30127 | 2017-08-15 |
| 1972028777 | Jonathan J Jones Jr. | Technician | 4089 Sweetsprings Terrace Sw, Powder Springs, GA 30127 | 2017-08-14 |
| 1124575279 | Thomas Jones | Private Vehicle | 3271 Barnwell Trce, Powder Springs, GA 30127 | 2016-09-07 |
| 1194184598 | Francesca Momplaisir | Chiropractor | 4851 Saddlerun Ln, Powder Springs, GA 30127 | 2016-02-15 |
| 1639535073 | Yonide Lareche | Nurse Practitioner | 184 Windriver Trik, Powderspring, GA 30127 | 2016-01-14 |
| 1740607035 | Health Star Home Health Care LLC | Home Health | 2148 Chaseford Ln, Powder Springs, GA 30127 | 2014-03-25 |
| 1073850855 | Charles Cordaro | Pharmacist | 2000 East West Connector, Health Services Center, 1st Floor - Pharmacy, Austell, GA 30127 | 2013-01-14 |
| 1669748539 | Scott Gynecology & Pelvic Surgery, P.C. | Obstetrics & Gynecology | 5041 Dallas Highway, Building 1, Suite G, Powder Springs, GA 30127 | 2012-03-26 |
| 1265706576 | Danielle Olivier Mental Health Services | Community/Behavioral Health | 3468 Hollow Stream Trail, Powder Prings, GA 30127 | 2012-03-05 |
| Find all providers in zip 30127 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710058938 | Bethesda Family Practice Assoc | Family Medicine | 4039 Atlanta St, Powder Springs, GA 30127-2666 | 2006-11-10 |
| 1902896293 | Christopher R Wizner | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2005-10-27 |
| 1366945404 | Lucinda Miles Hudson-neeley | Family Medicine | 4039 Atlanta St, Powder Springs, GA 30127-2666 | 2018-03-15 |
| 1417244971 | Julie Patel | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2011-07-06 |
| 1093011603 | Wellstar Medical Group, LLC | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2011-01-28 |
| 1366767444 | Georgia Forrest | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2010-04-01 |
| 1124290549 | Jeffrey Layne Cox | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127 | 2008-03-25 |
| 1336212513 | Jack T Saltz | Family Medicine | 4039 Atlanta St, Powder Springs, GA 30127-2666 | 2006-11-16 |
| 1013908128 | Michael W Christa | Family Medicine | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 | 2005-10-31 |
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| Find all providers with the same taxonomy | ||||
| City | POWDER SPRINGS |
| Zip Code | 30127 |
Please comment or provide details below to improve the information on WELLSTAR POWDER SPRINGS MEDICAL CENTER, LLC.
| 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.