Fusion Direct Medical and Wellness

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FUSION DIRECT MEDICAL AND WELLNESS

Practice address

1070 Eagles Landing Pkwy
Stockbridge, GA 30281-5012

Phone

(679) 718-8403

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Sherita Amin, NP-CNPI 1407441694

Title

Practice Owner

Phone

(470) 878-1246

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherita Amin, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Dunwoody, GA
  • NPI 1407441694
  NPD Authorized official
• Kenneth Reese Williams Jr., MD

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1245471879
  NPD

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1427729318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815012",
            "telephone_number": "678-718-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815012",
            "telephone_number": "679-718-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION DIRECT MEDICAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "470-878-1246",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "help@fusiondirectmed.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1070 Eagles Landing Pkwy",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302815012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah E. Frizzell
• Brianna Frost, RBT
• Shawnniwia Frye
• Terri George Furlow
• Fusion Direct Medical and Wellness
• Fusion Health and Wellness Corp
• Ga Pain Management Center, LLC
• Funlola M Gaddis, NP-C
• Vincent Galan, MD
• Mayra Janet Galvan

• Health Service Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.