A Family Practice and Wellness Center
Organization Active NPI Exclusive Provider Organization · Cartersville, GA
NPI 1184896573 · NPPES record last updated Dec 1, 2025
Key facts
- NPI
- 1184896573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- Legal business name
- A FAMILY PRACTICE AND WELLNESS CENTER
- Practice address
- 309 E Main St
Cartersville, GA 30120-3335 - Phone
- (770) 386-5262
- Fax
- (770) 386-0502
- NPI assigned
- Mar 26, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ashley R Crump
- Title
- Patient Care Coordinator
- Phone
- (770) 386-5262
Practitioners 9
-
Eric R Fromm, D.C.
-
Juthika Marie Jajal, D.C.
-
Crispin Olukemi Barlatt, D.O.
-
Jorge A Bueno, D.C
-
Scott Habers, D.C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080516000124 | GA | Part B Supplier - Clinic/Group Practice | 8820167802 |
Receives reassigned benefits from 2 practitioners Practice locations: Cartersville, GA |
National Provider Directory
Locations
309 E Main St
Cartersville, GA 30120
Phone (770) 386-5262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Yes |
Addresses
Primary practice location
309 E Main St
Cartersville, GA 30120-3335
Mailing address
309 E Main St
Cartersville, GA 30120-3335
Phone (770) 386-5262
Other providers in Cartersville, GA
- 100 Chiro Staples Cartersville PC
- 100 Percent Chiropractic Gibson LLC
- 99 Mockingbird Dental LLC
- A Healing Journey Counseling & Consultation
- Kimmie Aaron
- Afu Mohammad Abdul
- Absolute Care Ambulance Service
- Akosua Acheampong
All providers in Cartersville, GA · Exclusive Provider Organization in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.