PIEDMONT URGENT CARE BY WELLSTREET
NPI 1316690316
Non-Pharmacy Dispensing Site in Tucker, GA

Q: What is Wellstreet Of Georgia PC's NPI number?

The NPI number for Wellstreet Of Georgia PC is 1316690316. It was assigned to this organization in the NPPES registry on January 31, 2022. The provider is doing business as Piedmont Urgent Care By Wellstreet.

Q: What is Wellstreet Of Georgia PC's specialty?

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

Active since January 31, 2022CLIA 11D2240151 · Waiver

4650 HUGH HOWELL RD STE 510, TUCKER, GA 30084(678) 956-8630 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2022, Jan 31, 2022 (2 updates tracked since 2022).

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About Piedmont Urgent Care By Wellstreet NPPES

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

PIEDMONT URGENT CARE BY WELLSTREET (NPI 1316690316) is a healthcare organization registered as a non-pharmacy dispensing site in Tucker, Georgia and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Katie Cassarino, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1316690316

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameWELLSTREET OF GEORGIA PC

Location Address4650 HUGH HOWELL RD STE 510Tucker, GA 30084-5003

Mailing Address4650 Hugh Howell Rd Ste 510Tucker, GA 30084-5003 · (678) 956-8630 · Fax (678) 956-8634

Phone(678) 956-8630

Organization SubpartNo

Authorized OfficialKatie CassarinoPractice Manager · (678) 414-2824

Enumeration DateJanuary 31, 2022

Last NPPES UpdateFebruary 7, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2022

✔ NPI 1316690316 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.)

4650 HUGH HOWELL RD STE 510, Tucker, GA 30084

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Other Names 1

Doing Business AsPiedmont Urgent Care By Wellstreet

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 11D2240151

Piedmont Urgent Care By Wellstreet · Tucker, GA

Active · expires Oct 17, 2027

CLIA Number11D2240151

Laboratory TypeUrgent Care

Certificate Effective DateOctober 18, 2025

Certificate Expiration DateOctober 17, 2027

Laboratory DirectorMichael Duchynski

Laboratory Phone(470) 851-3353

Laboratory LocationPiedmont Urgent Care By Wellstreet4650 Hugh Howell Road, Suite 500, Tucker, GA 30084

CLIA data matches this NPI record on: Name

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.

MARISSA WEICHING GOOLSBY PA-C

Physician Assistant

4650 HUGH HOWELL RD STE 510
TUCKER, GA 30084

Dekalb County (678) 956-8630

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 1316690316. It was assigned to this organization in the NPPES registry on January 31, 2022. The provider is doing business as Piedmont Urgent Care By Wellstreet.

Where is Wellstreet Of Georgia PC located?

Wellstreet Of Georgia PC is located at 4650 Hugh Howell Rd Ste 510, Tucker, GA 30084. The listed phone number is (678) 956-8630.

What is Wellstreet Of Georgia PC's specialty?

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

Does Wellstreet Of Georgia PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2240151) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellstreet Of Georgia PC was last updated on February 7, 2022. 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.