Welld68 LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WELLD68 LLC

Practice address

1003 Shady LN NW
Kennesaw, GA 30152-3431

Phone

(770) 693-7921

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Lorraine Patty Hannah

Title

Surrogate

Phone

(770) 892-0687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1881461598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301568536",
            "telephone_number": "770-892-0687",
            "fax_number": "770-892-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SHADY LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523431",
            "telephone_number": "770-693-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLD68 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "PATTY",
        "authorized_official_title_or_position": "SURROGATE",
        "authorized_official_telephone_number": "770-892-0687"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshia Weaver, RN
• Tiffany Webb
• Adam Craig Weber, MD
• Kevin Lee Weikum, MBA, MS SA
• Sarah Newman Welch
• Meghan Weller
• Alexandra Wellman, BCBA
• Brandi Wells, PH.D.
• Jennifer Lee Wells, LPC
• Lisa Wells, PH.D.

• Durable Medical Equipment & Medical Supplies in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.