Active NPI
Eric Daniel Wellons, M.D.
- Vascular Surgery Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 049120
- Practice address
- 775 Poplar Rd
Suite 260
Newnan, GA 30265-8300 - Phone
- (404) 524-0095
- Fax
- (404) 658-9558
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 049120 | GA | Primary |
Addresses
Primary practice location
775 Poplar Rd
Suite 260
Newnan, GA 30265-8300
Mailing address
775 Poplar Rd
Suite 260
Newnan, GA 30265-8300
Phone (404) 524-0095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00944347A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Virginia School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1233 Hwy 54 W
Suite 210
Fayetteville, GA 30214-4542
Phone (404) 524-0095
1521 W McIntosh Rd
Griffin, GA 30223-1773
Phone (404) 524-0095
2201 Newnan Crossing Blvd
Suite 200
Newnan, GA 30265-2551
Phone (404) 524-0095
2690 Hwy 34 E
Suite a
Newnan, GA 30265-1330
Phone (678) 423-4100
Hospital & facility affiliations
- Piedmont Fayette Hospital
- Piedmont Newnan Hospital, Inc
- Piedmont Henry Hospital
- Morgan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.18 of 100
- Quality
- 74.66
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 83.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 34 |
| Varicose vein removal | 45 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newnan Vascular Center, LLC | Current | Accepting new patients | |
| Morgan County Georgia Hospital Authority | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients | |
| Rosenthal, Clark and Matsurra | Current | Accepting new patients |
Locations
3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683
1233 Highway 54 W
Ste 210
Fayetteville, GA 30214
Phone (404) 350-0106
1521 W McIntosh Rd
Griffin, GA 30223
Phone (404) 524-0095
2201 Newnan Crossing Blvd E
Ste 200
Newnan, GA 30265
Phone (404) 524-0095
2690 Highway 34 E
Ste A
Newnan, GA 30265
Phone (678) 423-4100
775 Poplar Rd
Ste 350
Newnan, GA 30265
Phone (470) 419-4380
775 Poplar Rd
Ste 260
Newnan, GA 30265
Phone (404) 524-0095
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
2690 Highway 34 E
Ste B
Newnan, GA 30265
Phone (404) 524-0095
62742 Collections Ctr Dr
Chicago, IL 60693
Interoperability endpoints
- ericwellons@mmc.medalliesdirect.net
- ewellons145312@cityofhope.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Newnan, GA
- NPI 1144540519
-
- Specialist
- Atlanta, GA
- NPI 1568670180
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- Critical Access Hospital
- Madison, GA
- NPI 1205843174
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- Family Medicine Physician
- Madison, GA
- NPI 1083080105
Hospital
-
- Critical Access Hospital
- Madison, GA
- NPI 1205843174
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1790761799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 POPLAR RD",
"address_2": "SUITE 260",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658300",
"telephone_number": "404-524-0095",
"fax_number": "404-658-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 POPLAR RD",
"address_2": "SUITE 260",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658300",
"telephone_number": "404-524-0095",
"fax_number": "404-658-9558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLONS",
"first_name": "ERIC",
"middle_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "049120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00944347A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.