Wellcare of Georgia, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2005112 Issued in GA

Legal business name

WELLCARE OF GEORGIA, INC.

Practice address

211 Perimeter Center Pkwy NE
Ste 800
Atlanta, GA 30346-1308

Phone

(866) 300-1141

NPI assigned

May 22, 2008

Organization subpart

Yes

Parent organization

WELLCARE HEALTH PLANS, INC.As reported in NPPES

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

Authorized official

Name

Michael Haber

Title

VP & Secretary

Phone

(813) 206-1490

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wellcare Health Plans Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellcare of Georgia, Inc.

  • Health Maintenance Organization
  • Atlanta, GA
  • NPI 1629589304
  NPD tax ID

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1093972408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "813-290-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PERIMETER CENTER PKWY NE",
            "address_2": "STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461308",
            "telephone_number": "866-300-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OF GEORGIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HEALTH PLANS, INC.",
        "enumeration_date": "2008-05-22",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "813-206-1490"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "2005112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702909696A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Welive Healthcare Services LLC
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• Well Equipt
• Well Spoken Speech Therapy
• Rachel Evans Wellborn, LCSW
• Wellcare of Georgia, Inc.
• Wellcomemd Buckhead, LLC
• Katherine Charlotte Weller, PHARMD
• Wellfed Family Nutrition
• Wellhealth Chiropractic Center

• Health Maintenance Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.