Organization Active NPI

Wellspect Inc

  • Durable Medical Equipment & Medical Supplies
  • Braselton, GA
National Provider Identifier
1164058046
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jul 12, 2022

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Wellspect, Inc.1235 Friendship Rd, Braselton, GA 30517-5626(877) 456-3742 Ostomy Supplies|Urological Supplies Accepts assignmentParticipating since Jul 1, 2020

National Provider Directory

National Provider Directory
Tax ID family
Wellspect Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.