WELLSTREET OF GEORGIA PC – NPI #1104523661
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.)

Health Care Provider Taxonomy Code for Non-Pharmacy Dispensing Site

WELLSTREET OF GEORGIA PC is a non-pharmacy dispensing site located in LAWRENCEVILLE, GA. NPPES has assigned the NPI number 1104523661 to WELLSTREET OF GEORGIA PC on February 14, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 332900000X from the Health Care Provider Taxonomy code set, which is classified as Non-Pharmacy Dispensing Site.

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
1104523661
Enumeration Date

(more than 3 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
1043 OLD PEACHTREE RD NW
LAWRENCEVILLE, GA 30043
Phone: (678) 335-5400 Fax: (678) 335-5401
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATIE MONS
PRACTICE MANAGER
Phone: (678) 414-2824
Updated
Certification Date
Feb 07, 2023

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
332900000X
- Non-Pharmacy Dispensing Site (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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1043 OLD PEACHTREE RD NW,
LAWRENCEVILLE, GA 77025-1669