Organization Active NPI

Wellness Ease LLC

  • Internal Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1235985318
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLNESS EASE LLC
Practice address
3225 N Point Pkwy Ste 103
Alpharetta, GA 30005-4726
Phone
(770) 307-6241
Fax
(833) 450-5693
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Keisha B Ellis, MDNPI 1366887861
Title
Physician / General Partner
Phone
(786) 419-3860

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3225 N Point Pkwy Ste 103
Alpharetta, GA 30005-4726

Mailing address

3225 N Point Pkwy Ste 103
Alpharetta, GA 30005-4726
Phone (770) 307-6241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240610000482 GA Part B Supplier - Clinic/Group Practice 5799227435 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2313966Wellness Ease, LLC3225 North Point Pkwy, Suite 103, Alpharetta, GA 30005Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1235985318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N POINT PKWY STE 103",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054726",
            "telephone_number": "770-307-6241",
            "fax_number": "833-450-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N POINT PKWY STE 103",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054726",
            "telephone_number": "770-307-6241",
            "fax_number": "833-450-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS EASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN / GENERAL PARTNER",
        "authorized_official_telephone_number": "786-419-3860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.