Healthwise Medical

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HEALTHWISE MEDICAL

Practice address

105 Brownsville Rd Ste 3
Powder Springs, GA 30127-6829

Phone

(770) 575-0768

NPI assigned

Sep 2, 2024

Organization subpart

No

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

Authorized official

Name

Claressa Chervon Hawkins, NP

Title

Ceo Owner

Phone

(770) 575-0768

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1134954076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 LISSON GRV",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604518521",
            "telephone_number": "312-437-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BROWNSVILLE RD STE 3",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276829",
            "telephone_number": "770-575-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CLARESSA",
        "authorized_official_middle_name": "CHERVON",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "770-575-0768",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.