Active NPI
Mandy Wells, CSFA
- Surgery Physician
- Cartersville, GA
National Provider Identifier
1891577185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 100269554
- Practice address
- 28 White Oak Dr SE
Cartersville, GA 30121-2960 - Phone
- (267) 776-5728
- NPI assigned
- Oct 20, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 100269554 | GA | Primary |
Addresses
Primary practice location
28 White Oak Dr SE
Cartersville, GA 30121-2960
Mailing address
185 W Main St
Centre, AL 35960-1323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100269554 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sew Surgical Assisting LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Assistant
- Cartersville, GA
- NPI 1093278939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1891577185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 W MAIN ST",
"city": "CENTRE",
"state": "AL",
"postal_code": "359601323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 WHITE OAK DR SE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301212960",
"telephone_number": "267-776-5728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "MANDY",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "100269554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cartersville, GA
- Kajuna Chanel Washington, CADCII
- Frank Douglas Weathersby, D.MIN.
- Megan Foster Webb, PA-C
- Mackenzie Leigh Weiss, CNM
- Xavier Guy Welch
- Monica Renea Wells, NP-C
- Wellstar Cardiovascular Medicine, LLC
- Wellstar Medical Group, LLC (WellStar Cartersville Surgical)
- Wellstar Medical Group, LLC (WellStar Family Medicine (Cartersville))
- Wellstreet of Georgia PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.