Organization Active NPI

Wellness One of Vinings

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1982827093
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042114 Issued in GA
Legal business name
WELLNESS ONE OF VININGS
Practice address
4300 Paces Ferry Rd
Suite #472
Atlanta, GA 30339
Phone
(770) 444-0949
NPI assigned
Apr 10, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Daniel Lynn Middleton
Title
Billing Manager
Phone
(770) 850-0857

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO07472 GA
Family Medicine Physician 207Q00000X 024767 GA
Family Medicine Physician 207Q00000X 042114 GA Primary

Addresses

Primary practice location

4300 Paces Ferry Rd
Suite #472
Atlanta, GA 30339

Mailing address

PO Box 673111
Marietta, GA 30006-3111
Phone (770) 444-0949

National Provider Directory

National Provider Directory

Locations

4300 Paces Ferry Rd SE
Ste 472
Atlanta, GA 30339
Phone (770) 444-0949

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1982827093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673111",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300063111",
            "telephone_number": "770-444-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PACES FERRY RD",
            "address_2": "SUITE #472",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "770-444-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ONE OF VININGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-850-0857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07472",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "024767",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042114",
            "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 Sep 11, 2025; 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.