Welltouch Wellness Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WELLTOUCH WELLNESS CLINIC LLC

Practice address

252 Shannon Way
Lawrenceville, GA 30044-3793

Phone

(404) 409-9439

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Charlene Pean-Winston, FNP-CNPI 1811643422

Title

Ceo/Provider/Owner

Phone

(404) 409-9439

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jennifer Charlene Pean-Winston, FNP-C

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1811643422

  GA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1780466532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 WARWICK WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398069",
            "telephone_number": "404-409-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SHANNON WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443793",
            "telephone_number": "404-409-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLTOUCH WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "PEAN-WINSTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CHARLENE",
        "authorized_official_title_or_position": "CEO/PROVIDER/OWNER",
        "authorized_official_telephone_number": "404-409-9439",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wells of Wholeness, Inc.
• April C. Wells
• Mercedes Wells
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC
• Monique Welsh-Evans, M.D.
• Sarah Kathryn Wenzel, FNP-C
• Donna C Wescoat, CRNA
• Shaquay D Wesley
• Summer Renee Wesley

• All providers in Lawrenceville, GA
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.