WELLNESS MEDICINE (NPI# 1417428129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417428129 |
| Entity Type | Organization |
| Organization Name | WELLNESS MEDICINE |
| Practice Address |
990 Bear Creek Blvd Ste G Hampton GA 30228-1864 |
| Practice Telephone | 6784791234 |
| Practice Fax Number | 6784795678 |
| Mailing Telephone | 6784791234 |
| Mailing Fax Number | 6784795678 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |
| Authorized Official Name | DR. JELUNDER CLARK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6784791234 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLNESS MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
990 BEAR CREEK BLVD STE G |
| City | HAMPTON |
| State | GA |
| Zip Code | 30228-1864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134559743 | Adrienne Peart | Registered Nurse | 990 Bear Creek Blvd Ste G, Hampton, GA 30228-1864 | 2013-11-18 |
| 1689147175 | Olayinka Afon | Nurse Practitioner | 990 Bear Creek Blvd Ste G, Hampton, GA 30228-1864 | 2019-01-07 |
| 1245688613 | Magdalene Oziwo | Nurse Practitioner | 990 Bear Creek Blvd Ste G, Hampton, GA 30228-1864 | 2016-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196166 | Mutinta Matimba Hamuwele | Nurse Practitioner | 10988 Genova Ter, Hampton, GA 30228 | 2020-05-19 |
| 1487295044 | Living Testimony Homecare, LLC | Home Health | 10833 Southwood Drive, Hampton, GA 30228 | 2019-10-04 |
| 1598246878 | Emma Ledbetter | Nurse Practitioner | 1910 Elm Park Dr, Hampton, GA 30228 | 2018-08-24 |
| 1720506231 | O'reilly Comprehensive Dermatology, Inc. | Dermatology | 755 Mount Vernon Hwy., Suite 330, Atlanta, GA 30228 | 2017-09-05 |
| 1720500648 | Sophia Demetria Edwards | Home Health Aide | 2059 Grove Way, Hampton, GA 30228 | 2017-07-12 |
| 1083143432 | Ciera Jayna Scales | Dentist | 144 Revolutionary Dr, Hampton, GA 30228 | 2017-06-08 |
| 1811446438 | Alwarna Pasteur | Contractor | 1419 Hyde Court, Hampton, GA 30228 | 2016-09-23 |
| 1932599370 | Corlyn Doolittle | Speech-Language Pathologist | 412 Lakeside Villa Dr, Lovejoy, GA 30228 | 2015-01-23 |
| 1114367596 | Mayer Counseling Services,llc | Counselor | 591 Toronto Circle, Hampton, GA 30228 | 2013-06-28 |
| 1932544269 | Eye Can See Eyewear Inc. | Technician/Technologist | 22 E. Main St. N., Hampton, GA 30228 | 2013-04-30 |
| Find all providers in zip 30228 | ||||
| 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 |
|---|---|---|---|---|
| 1053843987 | Jessica Weng | Family Medicine | 191 Fox Hill Rd Ste D, Hampton, VA 23669-2360 | 2017-03-30 |
| 1831621887 | Allen Family Healthcare LLC | Family Medicine | 149 Berkeley Way, Hampton, GA 30228-4082 | 2017-03-29 |
| 1700174117 | Rodney Leron Thompson | Family Medicine | Patient First - Hampton, 2304 W Mercury Blvd, Hampton, VA 23666 | 2011-07-19 |
| 1255626602 | Daniel Adrian Whitelocke | Family Medicine | 402 S Lee St, Hampton, AR 71744-8615 | 2011-06-14 |
| 1386893592 | Carlos F Acosta Md Ltd | Family Medicine | 2100 Hartford Rd, Hampton, VA 23666-2409 | 2008-09-11 |
| 1396908067 | Robert Scott Fell | Family Medicine | 850 Enterprise Pkwy Ste 2200, Hampton, VA 23666-6252 | 2008-07-03 |
| 1578781704 | Shahbaz Khan | Family Medicine | 850 Gateway Blvd., Hampton, VA 23666 | 2007-04-23 |
| 1477680858 | Tidewater Family Medicine, P C | Family Medicine | 2114a Hartford Rd, Hampton, VA 23666-2409 | 2007-02-27 |
| 1720150246 | North Hunterdon Physician Assoc | Family Medicine | 37 Rupell Rd, Hampton, NJ 08827 | 2006-11-14 |
| 1740350669 | Shirin Valiani | Family Medicine | 25 Goss Drive, Hampton, GA 30228-1855 | 2006-11-08 |
| Find all providers in HAMPTON | ||||
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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.