EVERGREEN PRIMARY CARE AND WELLNESS PC
NPI 1285134999
Internal Medicine in Cumming, GA

Q: What is Evergreen Primary Care And Wellness PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 19, 2018CLIA 11D2145565 · Waiver

2450 ATLANTA HWY STE 803, CUMMING, GA 30040(470) 253-7944(678) 807-6144 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2018, Feb 19, 2018 (2 updates tracked since 2018).

On this page

About Evergreen Primary Care And Wellness Pc NPPES

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

EVERGREEN PRIMARY CARE AND WELLNESS PC (NPI 1285134999) is a healthcare organization registered as an internal medicine in Cumming, Georgia and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Heather B Wanner, Owner, as its authorized official.

NPPES Registry Identity

NPI1285134999

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameEVERGREEN PRIMARY CARE AND WELLNESS PC

Location Address2450 ATLANTA HWY STE 803Cumming, GA 30040-1252

Mailing Address5485 Bethelview Rd Ste 360-331Cumming, GA 30040-9735 · (470) 253-7944 · Fax (678) 807-6144

Phone(470) 253-7944

Fax(678) 807-6144

Organization SubpartNo

Authorized OfficialHeather B WannerOwner · (470) 253-7944

Enumeration DateFebruary 19, 2018

Last NPPES UpdateMarch 8, 20182 updates tracked since enumeration

✔ NPI 1285134999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 52651

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License RN229572 (GA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN229572 (GA)

2450 ATLANTA HWY STE 803, Cumming, GA 30040

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 11D2145565

Evergreen Primary Care And Wellness, PC · Cumming, GA

Active · expires Mar 11, 2028

CLIA Number11D2145565

Laboratory TypePhysician Office

Certificate Effective DateMarch 12, 2026

Certificate Expiration DateMarch 11, 2028

Laboratory DirectorHeather B. Wanner

Laboratory Phone(470) 253-7944

Laboratory LocationEvergreen Primary Care And Wellness, PC2450 Atlanta Hwy, Suite 803, Cumming, GA 30040

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

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

MRS. HEATHER BROWN WANNER FNP-BC

Nurse Practitioner (Family)

2450 ATLANTA HWY STE 803
CUMMING, GA 30040

Forsyth County (470) 253-7944

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 Evergreen Primary Care And Wellness PC's NPI number?

The NPI number for Evergreen Primary Care And Wellness PC is 1285134999. It was assigned to this organization in the NPPES registry on February 19, 2018.

Where is Evergreen Primary Care And Wellness PC located?

Evergreen Primary Care And Wellness PC is located at 2450 Atlanta Hwy Ste 803, Cumming, GA 30040. The listed phone number is (470) 253-7944.

What is Evergreen Primary Care And Wellness PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Evergreen Primary Care And Wellness PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2145565) is associated with this NPI, valid through March 11, 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 Evergreen Primary Care And Wellness PC was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.