WELLSTREET OF GEORGIA PC – NPI #1316515141
Clinic/Center

WELLSTREET OF GEORGIA PC is an AHC clinic located in CUMMING, GA. NPPES has assigned the NPI number 1316515141 to WELLSTREET OF GEORGIA PC on June 17, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on Apr 16, 2025. 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 WELLSTREET OF GEORGIA PC below.

NPI Profile for
WELLSTREET OF GEORGIA PC

NPI Number
1316515141
Enumeration Date

(about 5 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
WELLSTREET OF GEORGIA PC
Primary location
880 BUFORD HWY
CUMMING, GA 30041
Phone: (770) 292-9982 Fax:
4 Other location(s):
2021 Market Place Blvd
Cumming, GA 30041-7931
Phone: (770) 292-9982
789 Church St NE
Marietta, GA 30060-7237
Phone: (404) 382-9890
285 Ridgewalk Pkwy Ste 108
Woodstock, GA 30188-4964
Phone: (404) 382-9890
7820 Hickory Flat Hwy
Woodstock, GA 30188-2099
Phone: (678) 672-5100
Mailing address
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265-6416
Phone: (470) 851-3353 Fax:
Organization Subpart
No
Authorized Official
HEATHER BROCK
CREDENTIALING SUPERVISOR
Phone: (678) 770-9005
Updated
Certification Date
Apr 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QU0200X
- Clinic/Center / Urgent Care (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.