Organization Active NPI

Wellspine LLC

  • Student in an Organized Health Care Education/Training Program
  • Marietta, GA
National Provider Identifier
1467991992
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
WELLSPINE LLC
Practice address
3000 Windy Hill Rd #674591
Marietta, GA 30006
Phone
(404) 913-6462
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Ashia Rallings
Title
Manager
Phone
(901) 649-4228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

3000 Windy Hill Rd #674591
Marietta, GA 30006

Mailing address

3000 Windy Hill Rd #674591
Marietta, GA 30006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1467991992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WINDY HILL RD #674591",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WINDY HILL RD #674591",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30006",
            "telephone_number": "404-913-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "RALLINGS",
        "authorized_official_first_name": "ASHIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "19016494228"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "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 Feb 23, 2017; 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.