Organization Active NPI

Wellpatriot Veterans Medical Services

  • Adult Medicine Physician
  • Atlanta, GA
National Provider Identifier
1972367589
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
WELLPATRIOT VETERANS MEDICAL SERVICES
Practice address
690 Miami Cir NE
Atlanta, GA 30324-3015
Phone
(404) 936-6216
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Dr. Kevin Washington Sr., MDNPI 1306037486
Title
Owner/Chief Medical Officer
Phone
(770) 378-0942

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
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

690 Miami Cir NE
Atlanta, GA 30324-3015

Mailing address

5112 Crescent Cove LN
Mableton, GA 30126-7622
Phone (770) 378-0942

National Provider Directory

National Provider Directory

Locations

690 Miami Cir NE
Atlanta, GA 30324
Phone (404) 936-6216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1972367589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 CRESCENT COVE LN",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267622",
            "telephone_number": "770-378-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MIAMI CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243015",
            "telephone_number": "404-936-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPATRIOT VETERANS MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "770-378-0942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.