Organization Active NPI

Eastern Wellness Center, PC

  • Psychiatry Physician
  • Richmond Hill, GA
National Provider Identifier
1417083387
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
50768 Issued in GA
Legal business name
EASTERN WELLNESS CENTER, PC
Practice address
2459 US Highway 17 Ste C
Richmond Hill, GA 31324-3793
Phone
(912) 312-2959
Fax
(912) 756-4127
NPI assigned
Feb 26, 2007
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mrs. Arklisha Christina Harris
Title
Office Manager
Phone
(912) 756-4117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 50768 GA Primary

Addresses

Primary practice location

2459 US Highway 17 Ste C
Richmond Hill, GA 31324-3793

Mailing address

PO Box 1308
Richmond Hill, GA 31324-1308
Phone (912) 756-4117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100421000573 GA Part B Supplier - Clinic/Group Practice 8123035201 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond Hill, GA

National Provider Directory

National Provider Directory

Locations

2459 US Highway 17
Ste C
Richmond Hill, GA 31324
Phone (912) 312-2959

2479 US Highway 17
#B
Richmond Hill, GA 31324
Phone (912) 756-4117

2479B US Highway 17
Richmond Hill, GA 31324
Phone (912) 567-4117

15 E Montgomery Xrd
Ste 1
Savannah, GA 31406
Phone (912) 961-4511

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1417083387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313241308",
            "telephone_number": "912-756-4117",
            "fax_number": "912-756-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 US HIGHWAY 17 STE C",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243793",
            "telephone_number": "912-312-2959",
            "fax_number": "912-756-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ARKLISHA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-756-4117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "50768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.