FUSION DIRECT MEDICAL AND WELLNESS
NPI 1265194484
Nurse Practitioner - Family in Stockbridge, GA

Active since October 06, 2021
233 CLARKDELL DR, STOCKBRIDGE, GA 30281(678) 458-4299 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fusion Direct Medical And Wellness NPPES

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

FUSION DIRECT MEDICAL AND WELLNESS (NPI 1265194484) is a healthcare organization registered as a family in Stockbridge, Georgia and active in the NPI registry since October 2021. The organization lists Yudelky Bentley, Owner, as its authorized official.

NPPES Registry Identity

NPI1265194484
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFUSION DIRECT MEDICAL AND WELLNESS
Location Address233 CLARKDELL DRStockbridge, GA 30281-5956
Mailing AddressPo Box 551Ellenwood, GA 30294-0551 · (678) 458-4299
Organization SubpartNo
Authorized OfficialYudelky BentleyOwner · (678) 458-4299
Enumeration DateOctober 6, 2021
NPPES CertifiedSeptember 21, 2021
NPI 1265194484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
233 CLARKDELL DR, Stockbridge, GA 30281

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

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 Direct Medical And Wellness's NPI number?

The NPI number for Fusion Direct Medical And Wellness is 1265194484. It was assigned to this organization in the NPPES registry on October 6, 2021.

Where is Fusion Direct Medical And Wellness located?

Fusion Direct Medical And Wellness is located at 233 Clarkdell Dr, Stockbridge, GA 30281. The listed phone number is (678) 458-4299.

What is Fusion Direct Medical And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Fusion Direct Medical And Wellness was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.