WELLSTREET OF GEORGIA PC (NPI# 1538666854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538666854 |
| Entity Type | Organization |
| Organization Name | WELLSTREET OF GEORGIA PC |
| Practice Address |
1575 Mount Vernon Rd Dunwoody GA 30338-4146 |
| Mailing Address |
3350 Riverwood Pkwy Se Ste 1850 Atlanta GA 30339-3300 |
| Practice Telephone | 4049960197 |
| Practice Fax Number | 7707309969 |
| Mailing Telephone | 7708093036 |
| Mailing Fax Number | 4046622399 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | SAMANTHA ALVORD (PRACTICE MANAGER) |
| Authorized Official Telephone | 7705216690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003135899A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063061315 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1280 Dogwood Dr Se, Conyers, GA 30013-5046 | 2019-09-10 |
| 1891265773 | Wellstreet of Georgia PC | Clinic/Center | 1155 Concord Rd Se Ste 200, Smyrna, GA 30080-4207 | 2018-12-04 |
| 1861980955 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 4763 Atlanta Hwy Ste 420, Loganville, GA 30052-6788 | 2018-04-25 |
| 1184111338 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 10945 State Bridge Rd Ste 901, Alpharetta, GA 30022-8164 | 2018-04-13 |
| 1811494156 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 6063 Peachtree Pkwy Ste 210a, Peachtree Corners, GA 30092-3303 | 2018-04-12 |
| 1124532916 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 3617 Roswell Rd Ne Ste A, Atlanta, GA 30305-1111 | 2017-12-01 |
| 1730611088 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 6660 Roswell Rd, Sandy Springs, GA 30328-3167 | 2017-03-28 |
| 1508239997 | Wellstreet of Georgia PC | Clinic/Center | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2015-11-06 |
| 1487126637 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1155 Concord Rd Se Ste 200, Smyrna, GA 30080-4207 | 2018-12-28 |
| 1538647441 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 5239 Highway 278 Ne, Covington, GA 30014-2671 | 2018-08-02 |
| Street Address |
1575 MOUNT VERNON RD |
| City | DUNWOODY |
| State | GA |
| Zip Code | 30338-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740823202 | Gwinnett Pulmonary Group Duluth | Non-Pharmacy Dispensing Site | 3855 Pleasant Hill Rd Ste 180, Duluth, GA 30096-8093 | 2019-10-28 |
| 1063061315 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1280 Dogwood Dr Se, Conyers, GA 30013-5046 | 2019-09-10 |
| 1659929339 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1975 Highway 54 W Ste 200, Peachtree City, GA 30269-4794 | 2019-08-27 |
| 1801444591 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 2326 Highway 34 E Ste 200, Newnan, GA 30265-1328 | 2019-08-27 |
| 1225686991 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1819 Peachtree Rd Ne Ste 103, Atlanta, GA 30309-1848 | 2019-08-27 |
| 1265995724 | Georgia Urology Pa | Non-Pharmacy Dispensing Site | 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 | 2019-04-11 |
| 1861980955 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 4763 Atlanta Hwy Ste 420, Loganville, GA 30052-6788 | 2018-04-25 |
| 1184111338 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 10945 State Bridge Rd Ste 901, Alpharetta, GA 30022-8164 | 2018-04-13 |
| 1811494156 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 6063 Peachtree Pkwy Ste 210a, Peachtree Corners, GA 30092-3303 | 2018-04-12 |
| 1851808539 | Floyd Healthcare Management, Inc. | Non-Pharmacy Dispensing Site | 100 E 1st Ave, Rome, GA 30161-3212 | 2018-01-04 |
| Find all providers with the same taxonomy | ||||
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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.