Watkinsville Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WATKINSVILLE OPCO LLC

Doing business as

St Gabriel of Athens

Practice address

2040 Resurgence Dr
Watkinsville, GA 30677-7219

Phone

(706) 521-0550

NPI assigned

Jan 4, 2023

Last updated

Jan 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 1

Addresses

Other names 1

• St Gabriel of Athens Doing business as

Locations

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1053024174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-322-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 RESURGENCE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777219",
            "telephone_number": "706-521-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINSVILLE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Gabriel of Athens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia Elizabeth Warmkessel, LAPC
• Monchelle Waters
• Sophia Rawlings Waters, M.S., P.T.
• Joanna Watkins, RBT
• Watkinsville Oconee Endoscopy LLC
• Jaime Hudson Waxter, M.ED., CCC-SLP
• April Webb, NP-C
• Thomas Wesley Wells, M.D.
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC

• Assisted Living Facility in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.