Wellvia Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLVIA INC

Practice address

6330 Riverdale Rd
Riverdale, GA 30274-1617

Phone

(770) 438-8446

Fax

(470) 704-4378

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Alicia Fragomeni

Title

Cfo

Phone

(770) 438-8446

Specialties & licenses 1

Addresses

Other names 1

• DR. SMITH'S PROGRAM Doing business as

Locations

Practitioners 1

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

• Walter H Smith, D.O

  • Family Medicine Physician
  • Riverdale, GA
  • NPI 1538210786
  NPD (past)

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1710731575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 JETT FERRY RD # 400-456",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383059",
            "telephone_number": "770-438-8446",
            "fax_number": "470-704-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERDALE RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741617",
            "telephone_number": "770-438-8446",
            "fax_number": "470-704-4378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4954 Vernon Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303384645",
            "country_code": "US",
            "telephone_number": "770-438-8446",
            "fax_number": "470-704-4378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLVIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "FRAGOMENI",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-438-8446"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. SMITH'S PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendra Webb
• Joel B Webber, MD
• Cristy Weems, FNP-C
• Wellness Medical Supply Inc
• Wells Better Living LLC
• Carolyn Faye West, RN
• Matthew Terrance Westberry
• Sherwanna Melissa Wheeler, CRNP
• Hayward White Jr., LPTA
• Wanda Michele White, PHARM.D.

• Family Medicine Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.