Organization Active NPI

Wellness One Marietta

  • Family Medicine Physician
  • Marietta, GA
National Provider Identifier
1447474689
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024767 Issued in GA
Legal business name
WELLNESS ONE MARIETTA
Practice address
2727 Canton Road
Suite # 520
Marietta, GA 30066
Phone
(770) 795-0506
Fax
(770) 795-0392
NPI assigned
Apr 12, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Daniel Lynn Middleton
Title
Billing Manager
Phone
(770) 850-0857

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X GA6328 GA
Chiropractor 111N00000X GA5936 GA
Family Medicine Physician 207Q00000X 024767 GA Primary

Addresses

Primary practice location

2727 Canton Road
Suite # 520
Marietta, GA 30066

Mailing address

PO Box 672542
Marietta, GA 30006-2542
Phone (770) 795-0506

National Provider Directory

National Provider Directory

Locations

2727 Canton Rd
Ste 520
Marietta, GA 30066

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1447474689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672542",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300062542",
            "telephone_number": "770-795-0506",
            "fax_number": "770-795-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 CANTON ROAD",
            "address_2": "SUITE # 520",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30066",
            "telephone_number": "770-795-0506",
            "fax_number": "770-795-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ONE MARIETTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-850-0857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA6328",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA5936",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "024767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.