Active NPI
Wellspect Inc
- Durable Medical Equipment & Medical Supplies
- Braselton, GA
National Provider Identifier
1164058046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WELLSPECT INC
- Practice address
- 1235 Friendship Rd Ste 205
Braselton, GA 30517-5626 - Phone
- (877) 456-3742
- Fax
- (866) 666-6250
- NPI assigned
- Mar 23, 2020
- 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
- Ryan Dobrez
- Title
- Officer
- Phone
- (706) 239-4073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1235 Friendship Rd Ste 205
Braselton, GA 30517-5626
Mailing address
1235 Friendship Rd Ste 205
Braselton, GA 30517-5626
Phone (877) 456-3742
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info-lofric-usa@wellspect.com | Direct | Dentsply IH Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200803002686 | GA | DME Supplier - Medical Supply Company | 9436574795 | Practice locations: Braselton, GA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Wellspect, Inc. | Ostomy Supplies|Urological Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Wellspect Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Camarillo, CA
- NPI 1255920518
-
- Oxygen Equipment & Supplies (DME)
- Charlotte, NC
- NPI 1528722402
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1164058046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 FRIENDSHIP RD STE 205",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175626",
"telephone_number": "877-456-3742",
"fax_number": "866-666-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 FRIENDSHIP RD STE 205",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175626",
"telephone_number": "877-456-3742",
"fax_number": "866-666-6250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPECT INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-23",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "DOBREZ",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "706-239-4073"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info-lofric-usa@wellspect.com",
"affiliation": "Y",
"endpointDescription": "Secure inbox email address",
"affiliationName": "Dentsply IH Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Physician Orders",
"address_1": "1235 Friendship Rd Ste 205",
"city": "Braselton",
"state": "GA",
"country_code": "US",
"postal_code": "305175626",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.