WELLSTREET OF GEORGIA PC (NPI# 1487126637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487126637 |
| Entity Type | Organization |
| Organization Name | WELLSTREET OF GEORGIA PC |
| Practice Address |
1155 Concord Rd Se Ste 200 Smyrna GA 30080-4207 |
| Mailing Address |
3350 Riverwood Pkwy Se Ste 1850 Atlanta GA 30339-3300 |
| Practice Telephone | 6786005137 |
| Practice Fax Number | 6786005098 |
| Mailing Telephone | 7708093036 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Authorized Official Name | KEESHA D. PINACLE (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7708093036 |
| 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 | 003137211A | 05 |
| Other Name | Type Code |
|---|---|
| Piedmont Urgent Care by Wellstreet | Doing Business As Name - Organization |
| 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 |
| 1538666854 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1575 Mount Vernon Rd, Dunwoody, GA 30338-4146 | 2018-04-12 |
| 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 |
| 1538647441 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 5239 Highway 278 Ne, Covington, GA 30014-2671 | 2018-08-02 |
| Street Address |
1155 CONCORD RD SE STE 200 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265773 | Wellstreet of Georgia PC | Clinic/Center | 1155 Concord Rd Se Ste 200, Smyrna, GA 30080-4207 | 2018-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1073143632 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 300 Stonecrest Blvd Ste 400, Smyrna, TN 37167-6802 | 2020-01-23 |
| 1518022821 | For The Children's Health, LLC | Non-Pharmacy Dispensing Site | 2400 Herodian Way Se, Suite 150, Smyrna, GA 30080-8581 | 2006-12-27 |
| 1861886954 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 3969 S Cobb Dr Se, Ste. 102, Smyrna, GA 30080-6358 | 2015-03-26 |
| 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 |
| 1538666854 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1575 Mount Vernon Rd, Dunwoody, GA 30338-4146 | 2018-04-12 |
| 1811494156 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 6063 Peachtree Pkwy Ste 210a, Peachtree Corners, GA 30092-3303 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WELLSTREET OF GEORGIA PC.
| 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.