NPIMap

Organization Active NPI

Epic Wellcare, LLC

  • Orthopaedic Surgery Physician
  • Decatur, GA
National Provider Identifier
1306335203
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
029684 Issued in GA
Legal business name
EPIC WELLCARE, LLC
Practice address
1989 N Williamsburg Dr
Decatur, GA 30033-5998
Phone
(404) 855-3339
Fax
(404) 255-2170
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Robysina Louise James, MDNPI 1609928829
Title
Medical Director
Phone
(404) 855-3339

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 029684 GA Primary

Addresses

Primary practice location

1989 N Williamsburg Dr
Decatur, GA 30033-5998

Mailing address

4036 Stephens Mill Run NE
Atlanta, GA 30342-3882
Phone (404) 855-3339

National Provider Directory

National Provider Directory

Locations

1989 N Williamsburg Dr
Decatur, GA 30033
Phone (404) 633-8338

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": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1306335203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 STEPHENS MILL RUN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423882",
            "telephone_number": "404-855-3339",
            "fax_number": "404-255-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 N WILLIAMSBURG DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335998",
            "telephone_number": "404-855-3339",
            "fax_number": "404-255-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC WELLCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ROBYSINA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-855-3339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "029684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.