Lake Oconee Wellness Associates LLC

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

Organization subpart

No

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

Authorized official

Name

Don Wright

Title

Member/Manager

Phone

(706) 614-0828

Specialties & licenses 1

Addresses

Locations

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": []
}

• Jacqueline Kroemer
• Sarah Kroll, PHD, BCBA
• Kalpana Kugathasan, MD
• Felicia S Lacksen, M.D.
• Sudha Lagudu, MD
• Christopher Lammert, DC
• Leigh Anne Landers, NP
• Kristen G Lane, NP
• Lauren Lariscy, CPNP
• Kristen Lark

• All providers in Watkinsville, GA
• Adult Medicine Physician in Georgia

• 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.