Organization Active NPI

Lake Oconee Wellness Associates LLC

  • Adult Medicine Physician
  • Watkinsville, GA
National Provider Identifier
1073005138
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
LAKE OCONEE WELLNESS ASSOCIATES LLC
Practice address
1741 Hog Mountain Rd # 200
Watkinsville, GA 30677-1947
Phone
(706) 705-6152
NPI assigned
Jun 5, 2018
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Don WrightNPI 1164848198
Title
Member/Manager
Phone
(706) 614-0828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

1741 Hog Mountain Rd # 200
Watkinsville, GA 30677-1947

Mailing address

1171 Laurel Pointe
Watkinsville, GA 30677-7559
Phone (706) 614-0828

National Provider Directory

National Provider Directory

Locations

1097 Greensboro Rd
Ste B201
Eatonton, GA 31024

1097 Lake Oconee Pkwy
Ste 201
Eatonton, GA 31024
Phone (844) 641-0036

1741 Hog Mountain Rd
#200
Watkinsville, GA 30677
Phone (706) 705-6152

1741 Hog Mountain Rd
Ste B
Watkinsville, GA 30677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1073005138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 LAUREL POINTE",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777559",
            "telephone_number": "706-614-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 HOG MOUNTAIN RD # 200",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771947",
            "telephone_number": "706-705-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OCONEE WELLNESS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-02-14",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "706-614-0828"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.