Medical Wellness Center of Georgia, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDICAL WELLNESS CENTER OF GEORGIA, LLC

Practice address

1523 Old Valdosta Rd
Ray City, GA 31645-7132

Phone

(877) 755-2212

NPI assigned

Feb 16, 2018

Last updated

Jul 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy S Pearson, ARNP

Title

Owner

Phone

(706) 480-4322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 17

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.

• Cosette Odom Bell, ARNP

  • Nurse Practitioner
  • Ray City, GA
  • NPI 1427262377
  Medicare reassignment NPD
• Angela M Burkett, FNP-C

  • Family Nurse Practitioner
  • Hazlehurst, GA
  • NPI 1043666860
  Medicare reassignment NPD
• Amanda Nicole Deen, MSN, FNP-BC

  • Family Nurse Practitioner
  • Baxley, GA
  • NPI 1437643517
  Medicare reassignment NPD
• Casey Dix, NP

  • Family Nurse Practitioner
  • McRae, GA
  • NPI 1013539899
  Medicare reassignment NPD
• James L Graham Jr., MD

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1730182106
  Medicare reassignment NPD
• Matthew Hodges, FNP-BC

  • Family Nurse Practitioner
  • Baxley, GA
  • NPI 1326403932
  Medicare reassignment NPD
• Caitlyn Cook Johnston, FNP-BC

  • Family Nurse Practitioner
  • Greensboro, GA
  • NPI 1588153316
  Medicare reassignment NPD
• Wendy C Pearson, ARNP

  • Family Nurse Practitioner
  • Ray City, GA
  • NPI 1487808754

  FL

  Medicare reassignment NPD
• Whitney Denann Sirmans, FNP

  • Family Nurse Practitioner
  • Baxley, GA
  • NPI 1912468521
  Medicare reassignment NPD
• Ashley Riddle Flo, FNP

  • Family Nurse Practitioner
  • Greensboro, GA
  • NPI 1932757994
  NPD
• Octavia Faulk, LMSW, ED.S

  • Social Worker
  • Valdosta, GA
  • NPI 1992110597

  Single Specialty

  NPD (past)
• Sarah Breeden Lynn, LMSW

  • Clinical Social Worker
  • Ray City, GA
  • NPI 1184571416
  NPD (past)

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1972003879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 OLD VALDOSTA RD",
            "city": "RAY CITY",
            "state": "GA",
            "postal_code": "316457132",
            "telephone_number": "706-480-4322",
            "fax_number": "877-366-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 OLD VALDOSTA RD",
            "city": "RAY CITY",
            "state": "GA",
            "postal_code": "316457132",
            "telephone_number": "877-755-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Cowles Clinc Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "30642",
            "country_code": "US",
            "telephone_number": "706-480-4322",
            "fax_number": "877-366-9625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL WELLNESS CENTER OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-480-4322",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Jacobs Jr.
• Lacee Nicole Jessup
• Lindsey L Jordan, MS RD LD
• Sarah Breeden Lynn, LMSW
• Deborah A McEady
• Wendy C Pearson, ARNP
• Erin Harrell Ray, LCSW
• Lynn Roberts
• Miranda Moneke Robinson
• Sarah P Smith, LCSW

• Family Medicine Physician in Ray City, GA
• Providers in Ray City, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.