NPIMap

Individual provider Active NPI

Thomas Wesley Wells, M.D.

  • Internal Medicine Physician
  • Watkinsville, GA
National Provider Identifier
1356301436
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040850 Issued in GA
Practice address
1305 Jennings Mill Rd Ste 220
Watkinsville, GA 30677-7241
Phone
(706) 552-1800
NPI assigned
Mar 24, 2006
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 040850 GA Primary

Addresses

Primary practice location

1305 Jennings Mill Rd Ste 220
Watkinsville, GA 30677-7241

Mailing address

PO Box 117264
Atlanta, GA 30368-7264

Other identifiers 1

IdentifierTypeStateIssuer
00757908AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000394 GA Practitioner - Internal Medicine 3072645365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Athens Primary Care LLCGroup PAC ID 0648520841, 80 clinicians

Practice addresses (Care Compare)

1305 Jennings Mill Rd
Watkinsville, GA 30677-7238
Phone (706) 552-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040850GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Primary Care LLC CurrentSince Aug 1, 2018 Accepting new patients
Hawthorne Medical Associates PC Internal Medicine Current Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

120 Hawthorne Park
Athens, GA 30606
Phone (706) 353-8700

1500 Oglethorpe Ave
Ste 600B
Athens, GA 30606
Phone (706) 549-3426

1305 Jennings Mill Rd
Watkinsville, GA 30677
Phone (706) 552-1920

1305 Jennings Mill Rd
Ste 210
Watkinsville, GA 30677
Phone (706) 552-1900

1305 Jennings Mill Rd
Ste 220
Watkinsville, GA 30677
Phone (706) 552-1800

1305 Jennings Mill Rd
Ste 230
Watkinsville, GA 30677
Phone (706) 552-1700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1356301436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117264",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 JENNINGS MILL RD STE 220",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777241",
            "telephone_number": "706-552-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "THOMAS",
        "middle_name": "WESLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "040850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00757908A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.