Integrative Mental Wellness Care

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

INTEGRATIVE MENTAL WELLNESS CARE

Practice address

712 Oak St # 5
Gainesville, GA 30501-3510

Phone

(409) 626-4133

NPI assigned

Aug 11, 2025

Organization subpart

No

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

Authorized official

Name

Carolyn WilliamsNPI 1538533906

Title

Ceo

Phone

(470) 892-4239

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Carolyn S Williams, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Gainesville, GA
  • NPI 1538533906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1285519827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305030007",
            "telephone_number": "470-892-4239",
            "fax_number": "770-691-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 OAK ST # 5",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013510",
            "telephone_number": "409-626-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MENTAL WELLNESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-892-4239"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Mitchell Inglis, DMD
• Lauren Keith Ingram, N.P.
• Mario Deaundra Ingram, M.D.
• Innovative Hearing Solutions, Inc (GoToHearing)
• Integrated Healthcare Center of Gainesville LLC
• Interim Healthcare of Northeast Georgia Inc
• Aqsa Iqbal
• Susan Irick, NP
• Babette Marie Irizarry, MD
• Christopher Irvin

• Nurse Practitioner in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.