CHARLES C WELLS – NPI #1376743880
Clinic/Center

CHARLES C WELLS is an AHC clinic located in MACON, GA. NPPES has assigned the NPI number 1376743880 to CHARLES C WELLS on July 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 19 years ago on Aug 24, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES C WELLS below.

NPI Profile for
CHARLES C WELLS

NPI Number
1376743880
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES C WELLS
Primary location
770 HEMLOCK ST
MACON, GA 31201-2170
Phone: (478) 745-5125 Fax:
Mailing address
60 CHASTAIN CENTER BLVD NW
SUITE 66
KENNESAW, GA 30144-5598
Phone: (978) 536-7400 Fax:
Organization Subpart
No
Authorized Official
CHARLES WELLS
MD
Phone: (978) 536-7400
Updated
Identifiers

Identifiers for CHARLES C WELLS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS915875
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.