Organization Active NPI

Wellman Family Healthcare

  • Chiropractor
  • Brunswick, GA
National Provider Identifier
1417995028
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7572 Issued in GA
Legal business name
WELLMAN FAMILY HEALTHCARE
Practice address
124 Chapel Crossing Rd
Brunswick, GA 31525-0529
Phone
(912) 554-2002
Fax
(912) 554-2290
NPI assigned
Jun 4, 2006
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Dr. Amber L Wellman, D.C.NPI 1205874062
Title
Owner
Phone
91255420002

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7572 GA Primary

Addresses

Primary practice location

124 Chapel Crossing Rd
Brunswick, GA 31525-0529

Mailing address

124 Chapel Crossing Rd
Brunswick, GA 31525-0529
Phone (912) 554-2002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060919000277 GA Part B Supplier - Clinic/Group Practice 0345245791 Receives reassigned benefits from 6 practitioners
Practice locations: Brunswick, GA

National Provider Directory

National Provider Directory

Locations

124 Chapel Crossing Rd
Brunswick, GA 31525
Phone (912) 554-2002

82 Buckingham Pl
Ste B
Brunswick, GA 31525
Phone (912) 554-2002

Practitioners & affiliated clinicians

Practitioners 6

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1417995028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CHAPEL CROSSING RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250529",
            "telephone_number": "912-554-2002",
            "fax_number": "912-554-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CHAPEL CROSSING RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250529",
            "telephone_number": "912-554-2002",
            "fax_number": "912-554-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMAN FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "91255420002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "7572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.