NEUROPATHY WELLNESS SPECIALISTS, LLC (NPI# 1215279294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215279294 |
| Entity Type | Organization |
| Organization Name | NEUROPATHY WELLNESS SPECIALISTS, LLC |
| Practice Address |
3635 Braselton Hwy Suite C Dacula GA 30019-1068 |
| Mailing Address |
2010 Beaver Ruin Rd Norcross GA 30071-3710 |
| Practice Telephone | 4702383050 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | RANDY MAYFIELD (PARTNER) |
| Authorized Official Telephone | 7704495664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 25937 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3635 BRASELTON HWY SUITE C |
| City | DACULA |
| State | GA |
| Zip Code | 30019-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810975 | Alan Paul Gerber | Obstetrics & Gynecology | 3635 Braselton Hwy, Ste B-1, Dacula, GA 30019-1068 | 2005-12-05 |
| 1588093439 | Coral Elizabeth Quinn Perniciaro | Physical Therapist | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2013-11-01 |
| 1922318625 | Christopher Brian Bennett | Chiropractor | 3635 Braselton Hwy, Suite B-2, Dacula, GA 30019-1068 | 2010-10-14 |
| 1184932857 | Nichelle Marie Young | Dental Assistant | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2010-09-16 |
| 1578773503 | N8 Health, LLC | Chiropractor | 3635 Braselton Hwy, Suite B2, Dacula, GA 30019-5933 | 2007-05-22 |
| 1437289600 | Bright Horizon Imaging LLC | Clinic/Center | 3635 Braselton Hwy, Suite A, Dacula, GA 30019-1068 | 2007-03-06 |
| 1013054402 | Sam S Kwon | Dentist | 3635 Braselton Hwy, Suite C, Dacula, GA 30019-1068 | 2007-02-01 |
| 1871664730 | Nicholas Thomas Tedder | Chiropractor | 3635 Braselton Hwy, Suite B-2, Dacula, GA 30019-1068 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548764988 | Integrative Medical Management Group | General Practice | 710 Dacula Rd Ste 4a, Dacula, GA 30019-7014 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1811507247 | Magnolia Medical Center LLC | General Practice | 101 Chase Ct Nw Ste B, Milledgeville, GA 31061-7188 | 2020-07-31 |
| 1952927279 | Total Health Solutions Medical Center | General Practice | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-06-23 |
| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NEUROPATHY WELLNESS SPECIALISTS, 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.