NPIMap

Organization Active NPI

Well Health LLC

Doing business as WellMed

  • Clinic/Center
  • Thomasville, GA
National Provider Identifier
1417665175
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WELL HEALTH LLC
Doing business as
WellMed
Practice address
115 Seward St Ste B
Thomasville, GA 31792-5528
Phone
(229) 216-8641
NPI assigned
Nov 11, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Matthew Graham, MD
Title
Owner/Managing Member
Phone
(912) 470-9034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

115 Seward St Ste B
Thomasville, GA 31792-5528

Mailing address

115 Seward St Ste B
Thomasville, GA 31792-5528

Other names 1

  • WellMed Doing business as

National Provider Directory

National Provider Directory

Locations

115 Seward St
Ste B
Thomasville, GA 31792
Phone (229) 216-8641

Practitioners & affiliated clinicians

Practitioners 4

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": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1417665175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SEWARD ST STE B",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SEWARD ST STE B",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925528",
            "telephone_number": "229-216-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "912-470-9034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.