Organization Active NPI

Winder Adult Primary Care & Wellness, Inc

  • Family Medicine Physician
  • Winder, GA
National Provider Identifier
1497766521
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047589 Issued in GA
Legal business name
WINDER ADULT PRIMARY CARE & WELLNESS, INC
Practice address
314 N Broad St
Suite 350
Winder, GA 30680-2191
Phone
(770) 867-0455
Fax
(770) 867-3990
NPI assigned
Aug 11, 2006
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Karla S Dunbar, M.D.NPI 1780695809
Title
Owner
Phone
(770) 867-0455

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 047589 GA Primary

Addresses

Primary practice location

314 N Broad St
Suite 350
Winder, GA 30680-2191

Mailing address

3025 Breckinridge Blvd
Suite 120
Duluth, GA 30096-7611
Phone (678) 226-0022

National Provider Directory

National Provider Directory

Locations

314 N Broad St
Ste 230
Winder, GA 30680
Phone (770) 867-0455

Practitioners & affiliated clinicians

Practitioners 1

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1497766521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BRECKINRIDGE BLVD",
            "address_2": "SUITE 120",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300967611",
            "telephone_number": "678-226-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N BROAD ST",
            "address_2": "SUITE 350",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802191",
            "telephone_number": "770-867-0455",
            "fax_number": "770-867-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDER ADULT PRIMARY CARE & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-867-0455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "047589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.