Active NPI
Medical Wellness Care LLC
- Registered Nurse
- Conyers, GA
National Provider Identifier
1407764251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- MEDICAL WELLNESS CARE LLC
- Practice address
- 2471 Ebenezer Rd SE
Conyers, GA 30094-2543 - Phone
- (404) 939-7737
- NPI assigned
- Sep 1, 2026
- 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
- Mrs. Melissa W. Clements, RN
- Title
- Ceo
- Phone
- (470) 717-7846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary |
Addresses
Primary practice location
2471 Ebenezer Rd SE
Conyers, GA 30094-2543
Mailing address
PO Box 376
Conyers, GA 30012-0376
Phone (404) 939-7737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1407764251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 376",
"city": "CONYERS",
"state": "GA",
"postal_code": "300120376",
"telephone_number": "404-939-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2471 EBENEZER RD SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300942543",
"telephone_number": "404-939-7737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL WELLNESS CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "CLEMENTS",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "470-717-7846",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.