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FUSION HEALTH AND WELLNESS CORP
NPI 1104774884
Nurse Practitioner - Primary Care in Stockbridge, GA

Active since March 18, 2026CLIA 11D2341683 · Waiver
1070 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(678) 458-4299(470) 878-1259 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2026, Mar 18, 2026 (2 updates tracked since 2026).

About Fusion Health And Wellness Corp NPPES

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

FUSION HEALTH AND WELLNESS CORP (NPI 1104774884) is a healthcare organization registered as a primary care in Stockbridge, Georgia and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Yudelky Tereza Bentley, Owner, as its authorized official.

NPPES Registry Identity

NPI1104774884
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameFUSION HEALTH AND WELLNESS CORP
Location Address1070 EAGLES LANDING PKWYStockbridge, GA 30281-5012
Mailing Address1070 Eagles Landing PkwyStockbridge, GA 30281-5012 · (470) 878-1246 · Fax (470) 878-1259
Phone(678) 458-4299
Fax(470) 878-1259
Organization SubpartNo
Authorized OfficialYudelky Tereza BentleyOwner · (678) 458-4299
Enumeration DateMarch 18, 2026
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1104774884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1070 EAGLES LANDING PKWY, Stockbridge, GA 30281
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2341683

Fusion Health And Wellness Corp · Stockbridge, GA
Active · expires Apr 6, 2028
CLIA Number11D2341683
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorBentley Yudelky
Laboratory Phone(470) 878-1246
Laboratory LocationFusion Health And Wellness Corp1070 Eagles Landing Parkway, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. YUDELKY TEREZA BENTLEY NP-C
Nurse Practitioner (Family)
1070 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 718-8403
FUSION DIRECT MEDICAL AND WELLNESS
Clinic/Center (Health Service)
1070 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Henry County (679) 718-8403

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 Fusion Health And Wellness Corp's NPI number?

The NPI number for Fusion Health And Wellness Corp is 1104774884. It was assigned to this organization in the NPPES registry on March 18, 2026.

Where is Fusion Health And Wellness Corp located?

Fusion Health And Wellness Corp is located at 1070 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 458-4299.

What is Fusion Health And Wellness Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Fusion Health And Wellness Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2341683) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fusion Health And Wellness Corp was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.