Michael A Wells, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

410 S Sherman St
Fitzgerald, GA 31750-3352

Phone

(229) 426-0002

NPI assigned

Oct 3, 2017

Last updated

Oct 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palm Tree Psychological

  • Community/Behavioral Health Agency
  • Fitzgerald, GA
  • NPI 1205238078
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1144730250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 WOOD WILLIAMS ROAD",
            "city": "ENIGMA",
            "state": "GA",
            "postal_code": "31749",
            "telephone_number": "229-386-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S SHERMAN ST",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503352",
            "telephone_number": "229-426-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #19147)
• Melanie Adams Waychoff, APRN, FNP-BC
• Wayne S. Maris, DDS, PC
• We Care Transportation, LLC
• Ovida Weatherspoon
• Ashley Taylor West, FNP-C
• Yoshi Williams
• Robbie Wilson
• Haylie Yancey

• Mental Health Counselor in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.