Organization Active NPI

Mole'T Health and Wellness, PC

  • Primary Care Clinic/Center
  • Macon, GA
National Provider Identifier
1487376646
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOLE'T HEALTH AND WELLNESS, PC
Practice address
4693 Log Cabin Dr
Macon, GA 31204-6317
Phone
(478) 444-3737
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Dr. Tamiko Molet, DNP, FNP-C
Title
Family Nurse Practitioner
Phone
(478) 444-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4693 Log Cabin Dr
Macon, GA 31204-6317

Mailing address

971 High St
Macon, GA 31201-2034
Phone (478) 444-3737

Other names 1

  • Mole't Health and Wellness, PC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL healthypeople@molethealth.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221129000311 GA Part B Supplier - Clinic/Group Practice 9830567684 Receives reassigned benefits from 1 practitioner
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

4693 Log Cabin Dr
Macon, GA 31204
Phone (478) 227-4113

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1487376646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 HIGH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012034",
            "telephone_number": "478-444-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4693 LOG CABIN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312046317",
            "telephone_number": "478-444-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLE'T HEALTH AND WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "MOLET",
        "authorized_official_first_name": "TAMIKO",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "478-444-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healthypeople@molethealth.com",
            "affiliation": "N",
            "endpointDescription": "Users of the same EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4693 Log Cabin Dr",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312046317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mole't Health and Wellness, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.