Active NPI
The Wisdom Nest LLC
- Assisted Living Facility
- Pooler, GA
National Provider Identifier
1851265862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- THE WISDOM NEST LLC
- Practice address
- 309 W Whatley St
Pooler, GA 31322-2905 - Phone
- (804) 909-3123
- NPI assigned
- Oct 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce W McCollum
- Title
- Chief Clinical SVCS
- Phone
- (804) 909-3123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
309 W Whatley St
Pooler, GA 31322-2905
Mailing address
309 W Whatley St
Pooler, GA 31322-2905
Phone (804) 909-3123
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759363200000",
"number": "1851265862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W WHATLEY ST",
"city": "POOLER",
"state": "GA",
"postal_code": "313222905",
"telephone_number": "804-909-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W WHATLEY ST",
"city": "POOLER",
"state": "GA",
"postal_code": "313222905",
"telephone_number": "804-909-3123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WISDOM NEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A",
"authorized_official_last_name": "MCCOLLUM",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CHIEF CLINICAL SVCS",
"authorized_official_telephone_number": "804-909-3123",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.