Organization Active NPI

Worker'S Wellness Clinic

  • Family Medicine Physician
  • Eatonton, GA
National Provider Identifier
1033935192
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
Tameika Yvette Monday, FNPNPI 1184050486
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.