Anwan Wellness Medical Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ANWAN WELLNESS MEDICAL CENTER PC

Practice address

725 N Central Ave
Hapeville, GA 30354-1935

Phone

(404) 761-2766

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donovan Wayne Christie Sr., M.D.NPI 1831157072

Title

President/Medical Director

Phone

(404) 761-2766

Specialties & licenses 1

Addresses

Other names 1

• Donovan W. Christie M.D.P.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAGADD
• FHIR API: https://api.platform.athenahealth.com/18041/brand/1/csg/1/fhir/r4

Practitioners 10

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

• Donovan Wayne Christie Sr., M.D.

  • Internal Medicine Physician
  • Tucker, GA
  • NPI 1831157072
  Medicare reassignment NPD Authorized official
• Khalil Bryant, PA

  • Physician Assistant
  • Hapeville, GA
  • NPI 1831872050
  Medicare reassignment NPD
• Edward Augustus Layne, M.D.

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1891807434

  Specialist

  Medicare reassignment NPD
• Shannon Christie, NP

  • Family Nurse Practitioner
  • Hapeville, GA
  • NPI 1144648395
  Medicare reassignment
• Krunal Jethwa, M.D

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1457607400
  NPD
• William Anthony Dufour, PA-C

  • Physician Assistant
  • Augusta, GA
  • NPI 1497424253
  NPD (past)
• Christina Small, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1447997697
  NPD (past)
• Vaughn D Tatum, M.D.

  • Internal Medicine Physician
  • Decatur, GA
  • NPI 1841309994
  NPD (past)
• Tahereh Kazemi Naderi, M.D.

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1326579947
  NPD (past)
• Haiya Virendrakumar Patel, DNP,FNP-C,BSN,RN

  • Family Nurse Practitioner
  • Birmingham, AL
  • NPI 1124792189
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1497842777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 CHAMBLEE DUNWOODY RD",
            "address_2": "STE. 328",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386202",
            "telephone_number": "770-685-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N CENTRAL AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541935",
            "telephone_number": "404-761-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANWAN WELLNESS MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-761-2766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donovan W. Christie M.D.P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Hapeville, GA
• Providers in Hapeville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.