Organization Active NPI

Health Check Primary Care and Wellness LLC

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1013722099
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTH CHECK PRIMARY CARE AND WELLNESS LLC
Practice address
2769 Chastain Meadows Pkwy Ste 70
Marietta, GA 30066-3368
Phone
(678) 764-1960
NPI assigned
Feb 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raquel D BillingsleaNPI 1548925969
Title
Owner
Phone
(678) 764-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2769 Chastain Meadows Pkwy Ste 70
Marietta, GA 30066-3368

Mailing address

2769 Chastain Meadows Pkwy Ste 70
Marietta, GA 30066-3368
Phone (678) 764-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250703003906 GA Part B Supplier - Clinic/Group Practice 3678087418 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2323763Health Check Primary Care and Wellness, LLC2769 Chastain Meadows Pkwy, Suite 70, Marietta, GA 30066Certificate of waiverMay 12, 2027

National Provider Directory

National Provider Directory

Locations

2769 Chastain Meadows Pkwy
Ste 7
Marietta, GA 30066

2769 Chastain Meadows Pkwy
Ste 70
Marietta, GA 30066
Phone (678) 764-1960

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1013722099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 CHASTAIN MEADOWS PKWY STE 70",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663368",
            "telephone_number": "678-764-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 CHASTAIN MEADOWS PKWY STE 70",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663368",
            "telephone_number": "678-764-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CHECK PRIMARY CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-764-1960"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.