Active NPI
Fusion Health and Wellness Corp
- Primary Care Nurse Practitioner
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- FUSION HEALTH AND WELLNESS CORP
- Practice address
- 1070 Eagles Landing Pkwy
Stockbridge, GA 30281-5012 - Phone
- (678) 458-4299
- Fax
- (470) 878-1259
- NPI assigned
- Mar 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yudelky Tereza Bentley, NP-C
- Title
- Owner
- Phone
- (678) 458-4299
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1070 Eagles Landing Pkwy
Stockbridge, GA 30281-5012
Mailing address
1070 Eagles Landing Pkwy
Stockbridge, GA 30281-5012
Phone (470) 878-1246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2341683 | Fusion Health and Wellness Corp | Certificate of waiver | Apr 6, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Stockbridge, GA
- NPI 1124660659
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Dunwoody, GA
- NPI 1407441694
Primary Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779408000000",
"number": "1104774884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815012",
"telephone_number": "470-878-1246",
"fax_number": "470-878-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815012",
"telephone_number": "678-458-4299",
"fax_number": "470-878-1259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUSION HEALTH AND WELLNESS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-18",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "YUDELKY",
"authorized_official_middle_name": "TEREZA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-458-4299",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.