Wellness Primary Care, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

047813 Issued in GA

Legal business name

WELLNESS PRIMARY CARE, LLC

Practice address

5456 Jimmy Carter Blvd
Suite 240
Norcross, GA 30093-1511

Phone

(678) 380-9889

NPI assigned

Apr 12, 2008

Last updated

Aug 24, 2010By 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

Dr. Paul Huy-Dao Nguyen, M.D.,NPI 1861486094

Title

Physician

Phone

(678) 380-9889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Paul Huydao Nguyen, M.D.

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1861486094
  Medicare reassignment Authorized official
• Alejandro Serrano, D.C., PHY ASST- C

  • Student in an Organized Health Care Education/Training Program
  • Norcross, GA
  • NPI 1326193947
  NPD (past)

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1124291927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 JIMMY CARTER BLVD",
            "address_2": "SUITE 240",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931511",
            "telephone_number": "678-380-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 JIMMY CARTER BLVD",
            "address_2": "SUITE 240",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931511",
            "telephone_number": "678-380-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-12",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HUY-DAO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-380-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "047813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aquiyah Latreish Weeks, REGISTERED NURSE
• Faye Doris Weems-Singleton, LMFT
• Rachel Wehrlin
• Yuanlin Wei, LAC (GEROGIA LICENSE
• Alan G Weintraub, MD
• Francina Wells, RN
• Rebecca Lynne Wentworth
• Natasha Wesley
• Ernest Boyd Whaley, PH.D.
• Peggy H Whatley, D.D.S.

• Case Manager/Care Coordinator in Norcross, GA
• Providers in Norcross, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.