Organization Active NPI

Wellness Family Clinic

  • Primary Care Clinic/Center
  • Marietta, GA
National Provider Identifier
1649447673
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RN113110NP Issued in GA
Legal business name
WELLNESS FAMILY CLINIC
Practice address
2317 Austell Rd SW
Marietta, GA 30008-4537
Phone
(678) 213-3137
Fax
(678) 213-3139
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mrs. Chioma Okereke, MSN-NPCNPI 1881786028
Title
FNP
Phone
(678) 213-3137

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
Primary Care Clinic/Center 261QP2300X RN113110NP GA Primary

Addresses

Primary practice location

2317 Austell Rd SW
Marietta, GA 30008-4537

Mailing address

2317 Austell Rd SW
Marietta, GA 30008-4537
Phone (678) 213-3137

Other identifiers 1

IdentifierTypeStateIssuer
931772211BMedicaidGA

National Provider Directory

National Provider Directory

Locations

2317 Austell Rd SW
Marietta, GA 30008
Phone (678) 213-3137

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1649447673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 AUSTELL RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300084537",
            "telephone_number": "678-213-3137",
            "fax_number": "678-213-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 AUSTELL RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300084537",
            "telephone_number": "678-213-3137",
            "fax_number": "678-213-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "OKEREKE",
        "authorized_official_first_name": "CHIOMA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "678-213-3137",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN-NPC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN113110NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "931772211B",
            "state": "GA"
        }
    ],
    "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 May 8, 2008; 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.