Wellcare of Georgia, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

WELLCARE OF GEORGIA, INC.

Practice address

211 Perimeter Center Pkwy NE Ste 800
Atlanta, GA 30346-1304

Phone

(866) 300-1141

NPI assigned

Oct 20, 2017

Organization subpart

Yes

Parent organization

WELLCARE HEALTH PLANS, INC.As reported in NPPES

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

Authorized official

Name

Michael Haber

Title

Secretary

Phone

(813) 206-1490

Specialties & licenses 1

Addresses

Tax ID family

Wellcare Health Plans Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellcare of Georgia, Inc.

  • Health Maintenance Organization
  • Atlanta, GA
  • NPI 1093972408
  NPD tax ID

Locations

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1629589304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PERIMETER CENTER PKWY NE STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PERIMETER CENTER PKWY NE STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461304",
            "telephone_number": "866-300-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OF GEORGIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HEALTH PLANS, INC.",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "813-206-1490"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.