NPIMap

Organization Active NPI

Galatians Foundation

Doing business as City of Oaks Wellness

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1861160038
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GALATIANS FOUNDATION
Doing business as
City of Oaks Wellness
Galatians Community Health
Practice address
1004 Dresser CT Ste 102
Raleigh, NC 27609-7325
Phone
(919) 266-0175
Fax
(833) 450-4826
NPI assigned
Sep 2, 2021
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GALATIANS FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Wanett T Mims
Title
Owner
Phone
(919) 607-8782

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU
Pediatrics Physician 208000000X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Advanced Practice Midwife 367A00000X NU

Addresses

Primary practice location

1004 Dresser CT Ste 102
Raleigh, NC 27609-7325

Mailing address

PO Box 10492
Raleigh, NC 27605-0492
Phone (919) 654-7309

Other practice location 1

4551 New Bern Ave Ste 160
Raleigh, NC 27610-1552
Phone (919) 556-1008

Other names 2

  • City of Oaks Wellness Doing business as
  • Galatians Community Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211022001679 NC Part B Supplier - Clinic/Group Practice 8820486970 Receives reassigned benefits from 6 practitioners
Practice locations: Raleigh, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2297626Galatians Foundation1004 Dresser Court, Ste 102, Raleigh, NC 27609Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory
Part of
Galatians Foundation

Locations

4551 New Bern Ave
Ste 160
Raleigh, NC 27610
Phone (919) 556-1008

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFJDD

Practitioners & affiliated clinicians

Practitioners 6

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": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1861160038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10492",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276050492",
            "telephone_number": "919-654-7309",
            "fax_number": "919-651-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 DRESSER CT STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097325",
            "telephone_number": "919-266-0175",
            "fax_number": "833-450-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4551 New Bern Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101552",
            "country_code": "US",
            "telephone_number": "919-556-1008",
            "fax_number": "919-556-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GALATIANS FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALATIANS FOUNDATION",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "WANETT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-607-8782"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Oaks Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Galatians Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.