WELLNESS PLUS CLINIC – NPI #1245519636
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

WELLNESS PLUS CLINIC is a provider located in ATLANTA, GA. NPPES has assigned the NPI number 1245519636 to WELLNESS PLUS CLINIC on August 16, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLNESS PLUS CLINIC” is a dba name, the actual legal business name for this organization is MEDPRIME, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 WELLNESS PLUS CLINIC below.

NPI Profile for
MEDPRIME, LLC

NPI Number
1245519636
Enumeration Date

(about 15 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
MEDPRIME, LLC
Doing Business As (dba): WELLNESS PLUS CLINIC
Primary location
1197 PEACHTEE STREET NE
ATLANTA, GA 31150
Phone: (404) 522-5552 Fax: (404) 522-5151
Mailing address
PO BOX 501741
ATLANTA, GA 31150-1741
Phone: (404) 522-5552 Fax: (404) 522-5151
Organization Subpart
No
Authorized Official
MARK REZNIK
PRACTICE ADMINISTRATOR
Phone: (770) 652-3667
Updated
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
208D00000X
- General Practice (Primary)		 GA 044023
111N00000X
- Chiropractor		 GA CHIRO07312

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.