NPIMap

Organization Active NPI

Wellness Office PC

  • Psychiatry Physician
  • Huntsville, AL
National Provider Identifier
1861905820
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELLNESS OFFICE PC
Practice address
400 Whitesport Dr SW Ste 104
Huntsville, AL 35801-6429
Phone
(256) 690-5052
Fax
(256) 467-8528
NPI assigned
Nov 13, 2017
Last updated
Oct 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Dr. Quratulain Agha, MDNPI 1093155590
Title
Owner
Phone
(256) 690-5052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

400 Whitesport Dr SW Ste 104
Huntsville, AL 35801-6429

Mailing address

400 Whitesport Dr SW Ste 104
Huntsville, AL 35801-6429
Phone (256) 690-5052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180613000066 AL Part B Supplier - Clinic/Group Practice 5799030961 Receives reassigned benefits from 5 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

333 Whitesport Dr SW
Ste 201
Huntsville, AL 35801
Phone (256) 489-0080

400 Whitesport Dr SW
Ste 104
Huntsville, AL 35801
Phone (256) 690-5052

Practitioners & affiliated clinicians

Practitioners 4

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": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1861905820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW STE 104",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016429",
            "telephone_number": "256-690-5052",
            "fax_number": "256-467-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW STE 104",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016429",
            "telephone_number": "256-690-5052",
            "fax_number": "256-467-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "QURATULAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-690-5052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.