NPIMap

Organization Active NPI

Hartley Health and Wellness Associates, LLC

  • Nursing Care Agency
  • Canton, GA
National Provider Identifier
1033514302
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
11050778 Issued in GA
Legal business name
HARTLEY HEALTH AND WELLNESS ASSOCIATES, LLC
Practice address
2000 Village Professional Dr Ste 110
Canton, GA 30114-8499
Phone
(678) 880-6698
Fax
(470) 299-9936
NPI assigned
Oct 29, 2014
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Mr. Michael Ray Hartley
Title
Owner
Phone
(404) 276-9043

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 11050778 GA Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

2000 Village Professional Dr Ste 110
Canton, GA 30114-8499

Mailing address

207 Crestmont Way
Canton, GA 30114-8875
Phone (147) 021-0198

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150313001264 GA Part B Supplier - Clinic/Group Practice 6305162165 Receives reassigned benefits from 14 practitioners
Practice locations: Canton, GA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: shandahartley@hartleyhealth.novoclinical.phimailbox.com

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1033514302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CRESTMONT WAY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148875",
            "telephone_number": "147-021-0198",
            "fax_number": "147-077-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VILLAGE PROFESSIONAL DR STE 110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148499",
            "telephone_number": "678-880-6698",
            "fax_number": "470-299-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLEY HEALTH AND WELLNESS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-276-9043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "11050778",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.