WELLPULL CORPORATION OF EVANS (NPI# 1154628451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154628451 |
| Entity Type | Organization |
| Organization Name | WELLPULL CORPORATION OF EVANS |
| Other Organization Name | D & K MEDICAL SUPPLY |
| Practice Address |
465 N Belair Rd Suite 1a Evans GA 30809-3188 |
| Practice Telephone | 7065132424 |
| Practice Fax Number | 7068542425 |
| Mailing Telephone | 7065132424 |
| Mailing Fax Number | 7068542425 |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2012-09-12 |
| Authorized Official Name | KYLE WAYNE PULLIAM (PRESIDENT) |
| Authorized Official Telephone | 7065132424 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| D & K MEDICAL SUPPLY | Doing Business As Name - Organization |
| Street Address |
465 N BELAIR RD SUITE 1A |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784593 | Stephen Lewis Schmidt | Family Medicine | 465 N Belair Rd, Suite 1c, Evans, GA 30809-3188 | 2005-07-14 |
| 1689145781 | Ashli D Thomas | Internal Medicine | 465 N Belair Rd, Evans, GA 30809-3188 | 2018-12-16 |
| 1265885883 | Clint Lanier Holton | Nurse Practitioner | 465 N Belair Rd, Suite 1b, Evans, GA 30809-3188 | 2016-07-19 |
| 1033450820 | Kathryn Ricks Toburen | Nurse Practitioner | 465 N Belair Rd, Suite 1-b, Evans, GA 30809-3188 | 2013-03-05 |
| 1396010427 | Bethany Joy Rudge Gilley | Physician Assistant | 465 N Belair Rd, Suite 1 B, Evans, GA 30809-3188 | 2012-03-22 |
| 1386924157 | Katie Nelson, Lpc, LLC | Counselor | 465 N Belair Rd, Ste 2d, Evans, GA 30809-3188 | 2011-08-24 |
| 1063669315 | Medequip Health Corp | Pharmacy | 465 N Belair Rd, 1a2, Evans, GA 30809-3188 | 2008-08-19 |
| 1023229887 | Margo Louise Henderson | Nurse Practitioner | 465 N Belair Rd, Ste 2b, Evans, GA 30809-3190 | 2007-05-24 |
| 1457565004 | Christopher Patrick Parker | Pharmacist | 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188 | 2007-05-10 |
| 1871718908 | Maria Alicia Johnson | Family Medicine | 465 N Belair Rd, Suite 1b, Evans, GA 30809-3188 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275037509 | Rover Mobility, LLC | Durable Medical Equipment & Medical Supplies | 766 Industrial Park Rd, Evans, GA 30809-3701 | 2018-03-21 |
| 1861711947 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5101 Washington Rd, Evans, GA 30809-6445 | 2010-05-27 |
| 1649597964 | My Health Stores | Durable Medical Equipment & Medical Supplies | 489 Columbia Industrial Blvd, Suite 102, Evans, GA 30809-6131 | 2010-04-26 |
| 1144556903 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 5119 Washington Rd, Evans, GA 30809-6445 | 2009-10-28 |
| 1790925691 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4310 Washington Rd, Evans, GA 30809-3957 | 2009-03-05 |
| 1154578961 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 3247 23rd Ave, Evans, CO 80620-1733 | 2008-08-22 |
| 1700069275 | Georgia Cvs Pharmacy L.L.C. | Durable Medical Equipment & Medical Supplies | 1044 Furys Ferry Rd, Evans, GA 30809-4208 | 2007-12-07 |
| 1275637100 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4385 Hereford Farm Rd, Evans, GA 30809-3409 | 2006-09-12 |
| 1588679849 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3700 35th Ave, Evans, CO 80620-9574 | 2006-07-29 |
| 1114949906 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4223 Washington Rd, Evans, GA 30809-3069 | 2006-07-24 |
| Find all providers in EVANS | ||||
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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.