Organization Active NPI

Winder Adult Primary Care & Wellness Inc

  • Point of Service
  • Winder, GA
National Provider Identifier
1194889048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
047589 Issued in GA
Legal business name
WINDER ADULT PRIMARY CARE & WELLNESS INC
Practice address
314 N Broad St
Ste. 350
Winder, GA 30680-2191
Phone
(770) 867-0455
Fax
(770) 867-3990
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karla Sabrina Dunbar, M.D.
Title
Physician
Phone
(770) 867-0455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 047589 GA Primary

Addresses

Primary practice location

314 N Broad St
Ste. 350
Winder, GA 30680-2191

Mailing address

314 N Broad St
Ste. 350
Winder, GA 30680-2191
Phone (770) 867-0455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194889048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N BROAD ST",
            "address_2": "STE. 350",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802191",
            "telephone_number": "770-867-0455",
            "fax_number": "770-867-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N BROAD ST",
            "address_2": "STE. 350",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802191",
            "telephone_number": "770-867-0455",
            "fax_number": "770-867-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDER ADULT PRIMARY CARE & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "SABRINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-867-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "047589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.