NPIMap

Organization Active NPI

Wellbe Senior Medical Group of Georgia, P. C.

Doing business as WellBe Senior Medical

  • Internal Medicine Physician
  • Sandy Springs, GA
National Provider Identifier
1205463163
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLBE SENIOR MEDICAL GROUP OF GEORGIA, P. C.
Doing business as
WellBe Senior Medical
Practice address
5 Concourse Pkwy Ste 3100
Sandy Springs, GA 30328-7117
Phone
(855) 492-7642
NPI assigned
Mar 23, 2020
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Dr. Iyad Houshan, MDNPI 1497773287
Title
Chief Medical Officer
Phone
(312) 776-2415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X

Addresses

Primary practice location

5 Concourse Pkwy Ste 3100
Sandy Springs, GA 30328-7117

Mailing address

20 W Kinzie St Ste 17
Chicago, IL 60654-6393
Phone (312) 776-2421

Other practice location 1

1155 Perimeter Ctr # Foor11
Atlanta, GA 30338-5463
Phone (312) 776-2410

Other names 1

  • WellBe Senior Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200601002024 GA Part B Supplier - Clinic/Group Practice 3375972243 Receives reassigned benefits from 39 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

211 Perimeter Center Pkwy NE
Ste 200
Dunwoody, GA 30346
Phone (404) 905-9832

1155 Perimeter Ctr
#11
Sandy Springs, GA 30338
Phone (312) 776-2410

1155 Perimeter Ctr
Fl 11
Sandy Springs, GA 30338
Phone (312) 776-2422

5 Concourse Pkwy
Ste 3100
Sandy Springs, GA 30328
Phone (855) 492-7642

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

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": "1727308800000",
    "number": "1205463163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W KINZIE ST STE 17",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546393",
            "telephone_number": "312-776-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CONCOURSE PKWY STE 3100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303287117",
            "telephone_number": "855-492-7642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Perimeter Ctr # Foor11",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303385463",
            "country_code": "US",
            "telephone_number": "312-776-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLBE SENIOR MEDICAL GROUP OF GEORGIA, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "HOUSHAN",
        "authorized_official_first_name": "IYAD",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "312-776-2415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBe Senior Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellBe Senior Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.