NPIMap

Organization Active NPI

Wellmiss Company

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
National Provider Identifier
1700564234
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WELLMISS COMPANY
Practice address
691 John Wesley Dobbs Ave NE Ste V-133
Atlanta, GA 30312-1690
Phone
(678) 900-5553
NPI assigned
Jul 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Jennifer J Johnson
Title
Ceo
Phone
(678) 900-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

691 John Wesley Dobbs Ave NE Ste V-133
Atlanta, GA 30312-1690

Mailing address

13119 Rangeley Hills Dr
Hampton, GA 30228-6180
Phone (678) 900-5553

National Provider Directory

National Provider Directory

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": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1700564234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13119 RANGELEY HILLS DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286180",
            "telephone_number": "678-900-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 JOHN WESLEY DOBBS AVE NE STE V-133",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121690",
            "telephone_number": "678-900-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMISS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-900-5553"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.