Wesley Glen Ministries

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WESLEY GLEN MINISTRIES

Practice address

4580 N Mumford Rd
Macon, GA 31210-4033

Phone

(478) 471-3711

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

William Oliver, DR.

Title

President/Ceo

Phone

(478) 471-3711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Cameron Thomas Bishop, LCSW

  • Clinical Social Worker
  • Macon, GA
  • NPI 1184966889
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1740698653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 N MUMFORD RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 N MUMFORD RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104033",
            "telephone_number": "478-471-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY GLEN MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "478-471-3711",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000754916",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry B Wells, M.D.
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC
• West Collection
• Gail West, LPC
• Haley West, RBT
• Laresa D West, NP
• Lauren Elizabeth West, PMHNP-BC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Macon, GA
• Providers in Macon, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.