Active NPI
Worker'S Wellness Clinic
- Family Medicine Physician
- Eatonton, GA
National Provider Identifier
1033935192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WORKER'S WELLNESS CLINIC
- Practice address
- 118 W Marion St
Eatonton, GA 31024-1010 - Phone
- (706) 819-3693
- Fax
- (706) 418-8005
- NPI assigned
- Nov 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tameika Yvette Monday, FNP
- Title
- Owner
- Phone
- (706) 819-3693
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Occupational Medicine Physician | 2083X0100X |
Addresses
Primary practice location
118 W Marion St
Eatonton, GA 31024-1010
Mailing address
118 W Marion St
Eatonton, GA 31024-1010
Phone (706) 819-3693
Other names 1
- Worker's Wellness Clinic
National Provider Directory
National Provider DirectoryLocations
118 W Marion St
Eatonton, GA 31024
Phone (706) 473-0005
Practitioners & affiliated clinicians
Practitioners 1
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": "1732233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732924800000",
"number": "1033935192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 W MARION ST",
"city": "EATONTON",
"state": "GA",
"postal_code": "310241010",
"telephone_number": "706-819-3693",
"fax_number": "706-418-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 W MARION ST",
"city": "EATONTON",
"state": "GA",
"postal_code": "310241010",
"telephone_number": "706-819-3693",
"fax_number": "706-418-8005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORKER'S WELLNESS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A",
"authorized_official_last_name": "MONDAY",
"authorized_official_first_name": "TAMEIKA",
"authorized_official_middle_name": "YVETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-819-3693",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Worker's Wellness Clinic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eatonton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.