Organization Active NPI

The Wellpath Center P.C.

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1043663560
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009246 Issued in GA
Legal business name
THE WELLPATH CENTER P.C.
Practice address
1301 Shiloh Rd NW Ste 1610
Kennesaw, GA 30144-7168
Phone
(770) 218-1166
Fax
(770) 218-1006
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Dr. Charles Cilinski, D.C.NPI 1164846481
Title
President
Phone
(703) 915-8789

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009246 GA Primary

Addresses

Primary practice location

1301 Shiloh Rd NW Ste 1610
Kennesaw, GA 30144-7168

Mailing address

1301 Shiloh Rd NW Ste 1610
Kennesaw, GA 30144-7168
Phone (770) 218-1166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170807000886 GA Part B Supplier - Clinic/Group Practice 7113298381 Receives reassigned benefits from 1 practitioner
Practice locations: Kennesaw, GA

National Provider Directory

National Provider Directory

Locations

1301 Shiloh Rd NW
Ste 1610
Kennesaw, GA 30144
Phone (770) 218-1166

Practitioners & affiliated clinicians

Practitioners 4

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1043663560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 1610",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447168",
            "telephone_number": "770-218-1166",
            "fax_number": "770-218-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 1610",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447168",
            "telephone_number": "770-218-1166",
            "fax_number": "770-218-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLPATH CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "CILINSKI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-915-8789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.