WELLSPRING MD LLC
NPI 1235944935
Family Medicine in Atlanta, GA

Active since February 10, 2025
4300 PACES FERRY RD SE STE 500, ATLANTA, GA 30339(484) 763-0707 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wellspring Md Llc NPPES

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

WELLSPRING MD LLC (NPI 1235944935) is a healthcare organization registered as a family medicine in Atlanta, Georgia and active in the NPI registry since February 2025. The organization maintains 2 additional practice locations and lists Jason Pd Bailey, Owner, as its authorized official.

NPPES Registry Identity

NPI1235944935
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPRING MD LLC
Location Address4300 PACES FERRY RD SE STE 500Atlanta, GA 30339-5714
Mailing Address4300 Paces Ferry Rd Se Ste 500Atlanta, GA 30339-5714 · (470) 339-4306 · Fax (470) 284-0215
Organization SubpartNo
Authorized OfficialJason Pd BaileyOwner · (470) 339-4306
Enumeration DateFebruary 10, 2025
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1235944935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4300 PACES FERRY RD SE STE 500, Atlanta, GA 30339

Secondary Practice Locations 2

Location 111175 Cicero Dr Ste 147Alpharetta, GA 30022-1179 · Phone (470) 339-4306 · Fax (470) 284-0215
Location 24405 Northside Pkwy NW Apt 2103Atlanta, GA 30327-5203 · Phone (470) 339-4306 · Fax (470) 284-0215

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)

Wellspring Md Llc 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 Wellspring MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1689331696
4300 PACES FERRY RD SE STE 500
Atlanta, GA 30339
(470) 339-4306
✔ PECOS✔ Accepts MedicareSame address

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 Wellspring MD LLC's NPI number?

The NPI number for Wellspring MD LLC is 1235944935. It was assigned to this organization in the NPPES registry on February 10, 2025.

Where is Wellspring MD LLC located?

Wellspring MD LLC is located at 4300 Paces Ferry Rd SE Ste 500, Atlanta, GA 30339. The listed phone number is (484) 763-0707.

What is Wellspring MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wellspring MD LLC enrolled in Medicare?

Yes. Wellspring MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellspring MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Wellspring MD LLC. 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 Wellspring MD LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.