ASHLEY CAROLINE WYATT WELLS (NPI# 1245530989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245530989 |
| Entity Type | Individual |
| Full Name | ASHLEY CAROLINE WYATT WELLS |
| Other Name | ASHLEY CAROLINE WYATT |
| Credential | PA-C |
| Practice Address |
2283 Wrightsboro Rd Augusta GA 30904-4717 |
| Mailing Address |
2400 Bellevue Rd Ste 21a Dublin GA 31021-2890 |
| Practice Telephone | 7067333373 |
| Practice Fax Number | 7067333423 |
| Mailing Telephone | 4782757202 |
| Mailing Fax Number | 4782748418 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2015-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 005983 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005983 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
005983 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA LICENSE | 005983 | 01 |
| GA | 003101516 | 05 |
| Street Address |
2283 WRIGHTSBORO RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811988736 | David Doyle Jr. | Specialist | 2283 Wrightsboro Rd, Augusta, GA 30904-4717 | 2005-10-31 |
| 1114151800 | Lauren Eckert Ploch | Dermatology | 2283 Wrightsboro Rd, Augusta, GA 30904-4717 | 2009-05-08 |
| 1720251580 | Brooke E. Robertson | Counselor | 2283 Wrightsboro Rd, Augusta, GA 30904-4717 | 2008-04-11 |
| 1659557445 | Brian Stephen Slutzky | Psychologist | 2283 Wrightsboro Rd, Augusta, GA 30904-4717 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1003164153 | Rachel Mccall Dawkins | Physician Assistant | Doctors Hospital of Augusta, 3651 Wheeler Rd., Augusta, GA 30909 | 2012-08-21 |
| 1447589379 | Donald Earl Maner Sr. | Physician Assistant | Ec3326 Laney Walker Blvd, Medical College of Georgia, Augusta, GA 30912 | 2009-12-24 |
| 1740515063 | Ashley Janae Thomas | Physician Assistant | 811 13th St Ste 11, University Professional Building 3, Augusta, GA 30901-2771 | 2009-10-04 |
| 1649292905 | Susan Marie Klein | Physician Assistant | Vamc 1 Freedom Way, Augusta, GA 30901 | 2006-07-24 |
| 1053339663 | Joseph Stanley Soparas | Physician Assistant | 1 Freedom Way # 291, Augusta, GA 30904-6258 | 2006-07-18 |
| 1083687024 | Jarrod John Henry | Physician Assistant | 12 Shuman Ave, Augusta, ME 04330-6020 | 2006-02-09 |
| 1841278363 | Julie A. Zale | Physician Assistant | 219 Capitol St, Suite 2, Augusta, ME 04330-6235 | 2006-01-04 |
| 1487255493 | Rachel Muehlfeld | Physician Assistant | 1701 Magnolia Way Ste 101, Augusta, GA 30909-9484 | 2020-11-05 |
| 1881291367 | Gilbert Lee Lewis Jr. | Physician Assistant | 127 Telfair St, Augusta, GA 30901-2590 | 2020-10-07 |
| Find all providers in AUGUSTA | ||||
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| 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.