HEALTHY MINDS AND WELLNESS
NPI 1043020662
Nurse Practitioner - Psychiatric/Mental Health in Snellville, GA

Active since January 08, 2025
2330 SCENIC HWY S STE 610, SNELLVILLE, GA 30078(770) 810-5836 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Healthy Minds And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHY MINDS AND WELLNESS (NPI 1043020662) is a healthcare organization registered as a psychiatric/mental health in Snellville, Georgia and active in the NPI registry since January 2025. The organization lists Omar Kevin Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1043020662
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEALTHY MINDS AND WELLNESS
Location Address2330 SCENIC HWY S STE 610Snellville, GA 30078-3115
Mailing Address2330 Scenic Hwy S Ste 610Snellville, GA 30078-3115
Organization SubpartNo
Authorized OfficialOmar Kevin FullerOwner · (973) 572-8260
Enumeration DateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1043020662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2330 SCENIC HWY S STE 610, Snellville, GA 30078

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthy Minds And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthy Minds And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1932833050
487 THOMAS DR
Loganville, GA 30052
(973) 572-8260
✔ PECOS✔ Accepts Medicare9.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthy Minds And Wellness's NPI number?

The NPI number for Healthy Minds And Wellness is 1043020662. It was assigned to this organization in the NPPES registry on January 8, 2025.

Where is Healthy Minds And Wellness located?

Healthy Minds And Wellness is located at 2330 Scenic Hwy S Ste 610, Snellville, GA 30078. The listed phone number is (770) 810-5836.

What is Healthy Minds And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Healthy Minds And Wellness enrolled in Medicare?

Yes. Healthy Minds And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthy Minds And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Healthy Minds And Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthy Minds And Wellness was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.