Organization Active NPI

Advanced Wellness Care P.C.

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1043620966
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN142278 Issued in GA
Legal business name
ADVANCED WELLNESS CARE P.C.
Practice address
108 Byrd Way
Suite 100
Warner Robins, GA 31088
Phone
(478) 333-3026
Fax
(478) 254-5102
NPI assigned
Apr 30, 2014
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Ms. Altheia Ware, DNP, NP-C
Title
Owner/Provider
Phone
(706) 315-0836

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN190791 GA
Family Nurse Practitioner 363LF0000X RN142278 GA Primary

Addresses

Primary practice location

108 Byrd Way
Suite 100
Warner Robins, GA 31088

Mailing address

108 Byrd Way
Suite 100
Warner Robins, GA 31088
Phone (478) 333-3026

National Provider Directory

National Provider Directory

Locations

556 3rd St
Ste B
Macon, GA 31201
Phone (478) 473-2472

151 S Houston Lake Rd
Ste 110
Warner Robins, GA 31088
Phone (478) 333-3026

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1043620966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BYRD WAY",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-333-3026",
            "fax_number": "478-254-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BYRD WAY",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-333-3026",
            "fax_number": "478-254-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "ALTHEIA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "706-315-0836",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN190791",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN142278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.