EASTERN WELLNESS CENTER, PC (NPI# 1417083387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417083387 |
| Entity Type | Organization |
| Organization Name | EASTERN WELLNESS CENTER, PC |
| Practice Address |
2479-b Hwy 17 South Richmond Hill GA 31324 |
| Mailing Address |
Po Box 1308 Richmond Hill GA 31324-1308 |
| Practice Telephone | 9127564117 |
| Practice Fax Number | 9127564127 |
| Mailing Telephone | 9127564117 |
| Mailing Fax Number | 9127564127 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ARKLISHA CHRISTINA HARRIS (OFFICE MANAGER) |
| Authorized Official Telephone | 9127564117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
50768 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2479-B HWY 17 SOUTH |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235326513 | Imran Shaikh | Psychiatry & Neurology | 10209 Jamaica Ave, Suite 1, Richmond Hill, NY 11418-2010 | 2007-10-01 |
| 1295785103 | Adam W Harris | Psychiatry & Neurology | 2479b Us Highway 17, Richmond Hill, GA 31324-3397 | 2006-05-11 |
| 1851477285 | Grisco S Blanco | Psychiatry & Neurology | 8900 Van Wyck Expy, Jamaica Queens, Richmond Hill, NY 11418-2897 | 2006-10-27 |
| 1952339582 | Fermin Gonzalez | Psychiatry & Neurology | 8900 Van Wyck Expy, Dept. of Psychiatry, Richmond Hill, NY 11418-2897 | 2006-06-30 |
| 1801832514 | Indira Patel | Psychiatry & Neurology | 8900 Van Wyck Expy, Psychiatry, Richmond Hill, NY 11418-2897 | 2006-06-21 |
| 1558307041 | Madhu Malhotra | Psychiatry & Neurology | 8900 Van Wyck Expy, Dept. of Psychiatry, Richmond Hill, NY 11418-2897 | 2006-06-21 |
| 1124063219 | Meri Nisimova | Psychiatry & Neurology | 8900 Van Wyck Expy, Dept. of Psychiatry, Richmond Hill, NY 11418-2832 | 2006-06-20 |
| 1174568281 | Lilian Aldana-bernier | Psychiatry & Neurology | 8900 Van Wyck Expy, Dept. of Psychiatry, Richmond Hill, NY 11418-2897 | 2006-06-20 |
| 1972548915 | Sandip Pranlal Sheth | Psychiatry & Neurology | 8900 Van Wyck Expy, Richmond Hill, NY 11418-2897 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021390 | Psychemic | Psychiatry & Neurology | 125 Clairemont Ave Ste 205, Decatur, GA 30030-2558 | 2020-10-19 |
| 1962010975 | Beatrice Nduwimana | Psychiatry & Neurology | 3499 Henley St, Rex, GA 30273-1758 | 2020-07-15 |
| 1881219145 | Mandeep Singh | Psychiatry & Neurology | 1103 15th St, Augusta, GA 30901-3111 | 2020-06-12 |
| 1427673797 | Amanda Seamon | Psychiatry & Neurology | 997 Saint Sebastian Way # Eg2003, Augusta, GA 30912-2613 | 2020-06-12 |
| 1861016537 | Behavioral Health Professionals of Lagrange, LLC | Psychiatry & Neurology | 145 Maple Trce, Pine Mountain, GA 31822-2826 | 2020-05-29 |
| 1538796073 | Relax Medicine, LLC | Psychiatry & Neurology | 950 Herrington Rd Ste C215, Lawrenceville, GA 30044-7217 | 2020-03-25 |
| 1841826856 | Lakisha Denise Hunt | Psychiatry & Neurology | 1316 Montego Ct, Albany, GA 31705-8015 | 2020-03-21 |
| 1992330492 | Oluwafunmilola Olusola Sulaimon | Psychiatry & Neurology | 6274 Baltusrol Trce, Fairburn, GA 30213-5122 | 2020-03-05 |
| 1285264770 | Holistic Family Psychiatry | Psychiatry & Neurology | 1535 Mount Vernon Rd Ste 100-a, Atlanta, GA 30338-4149 | 2020-01-23 |
| 1255988978 | Life Health and Rehab, LLC | Psychiatry & Neurology | 1637 Athens Hwy Ste A, Grayson, GA 30017-1768 | 2019-08-19 |
| Find all providers with the same taxonomy | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
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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.