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WELLSTREET OF GEORGIA PC
NPI 1104523661
Non-Pharmacy Dispensing Site in Lawrenceville, GA

Active since February 14, 2023
1043 OLD PEACHTREE RD NW, LAWRENCEVILLE, GA 30043(678) 335-5400(678) 335-5401 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstreet Of Georgia Pc NPPES

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

WELLSTREET OF GEORGIA PC (NPI 1104523661) is a healthcare organization registered as a non-pharmacy dispensing site in Lawrenceville, Georgia and active in the NPI registry since February 2023. The organization lists Katie Mons, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1104523661
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameWELLSTREET OF GEORGIA PC
Location Address1043 OLD PEACHTREE RD NWLawrenceville, GA 30043
Mailing Address1043 Old Peachtree Rd NwLawrenceville, GA 30043 · (678) 335-5400 · Fax (678) 335-5401
Phone(678) 335-5400
Fax(678) 335-5401
Organization SubpartNo
Authorized OfficialKatie MonsPractice Manager · (678) 414-2824
Enumeration DateFebruary 14, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1104523661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1043 OLD PEACHTREE RD NW, Lawrenceville, GA 30043
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SYLVIA WALFRIDSON PA
Physician Assistant
1043 OLD PEACHTREE RD NW
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 335-5400

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 Wellstreet Of Georgia PC's NPI number?

The NPI number for Wellstreet Of Georgia PC is 1104523661. It was assigned to this organization in the NPPES registry on February 14, 2023.

Where is Wellstreet Of Georgia PC located?

Wellstreet Of Georgia PC is located at 1043 Old Peachtree Rd NW, Lawrenceville, GA 30043. The listed phone number is (678) 335-5400.

What is Wellstreet Of Georgia PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Wellstreet Of Georgia PC was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.