Active NPI
Charles C Wells
- Multi-Specialty Clinic/Center
- Macon, GA
National Provider Identifier
1376743880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CHARLES C WELLS
- Practice address
- 770 Hemlock St
Macon, GA 31201-2170 - Phone
- (478) 745-5125
- NPI assigned
- Jul 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles C Wells
- Title
- MD
- Phone
- (978) 536-7400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
770 Hemlock St
Macon, GA 31201-2170
Mailing address
60 Chastain Center Blvd NW
Suite 66
Kennesaw, GA 30144-5598
Phone (978) 536-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915875 | Other | BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Macon, GA
- NPI 1053332841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187913600000",
"number": "1376743880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CHASTAIN CENTER BLVD NW",
"address_2": "SUITE 66",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445598",
"telephone_number": "978-536-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 HEMLOCK ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012170",
"telephone_number": "478-745-5125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES C WELLS",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-23",
"last_updated": "2007-08-24",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "978-536-7400",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "915875",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.