Organization Active NPI

Wellness Connect

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1720456163
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042424 Issued in GA
Legal business name
WELLNESS CONNECT
Practice address
1209 Marlowe Dr
Macon, GA 31210-3107
Phone
(478) 297-5687
NPI assigned
Sep 2, 2015
Last updated
Sep 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Rob Warnock
Title
Owner
Phone
(478) 297-5687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042424 GA Primary

Addresses

Primary practice location

1209 Marlowe Dr
Macon, GA 31210-3107

Mailing address

1209 Marlowe Dr
Macon, GA 31210-3107
Phone (478) 297-5687

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1720456163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 MARLOWE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312103107",
            "telephone_number": "478-297-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 MARLOWE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312103107",
            "telephone_number": "478-297-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CONNECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "WARNOCK",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-297-5687"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.