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WELLSTREET OF GEORGIA PC
NPI 1508239997
Clinic/Center in Newnan, GA

Active since November 06, 2015
1825 HIGHWAY 34 E STE 1200, NEWNAN, GA 30265(770) 502-2121(770) 502-2113 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wellstreet Of Georgia Pc NPPES

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

WELLSTREET OF GEORGIA PC (NPI 1508239997) is a healthcare organization registered as a clinic/center in Newnan, Georgia and active in the NPI registry since November 2015. The organization lists Tonia R Davis, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1508239997
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWELLSTREET OF GEORGIA PC
Location Address1825 HIGHWAY 34 E STE 1200Newnan, GA 30265-6416
Mailing Address549 Bullsboro DrNewnan, GA 30265-1045 · (770) 502-2121
Phone(770) 502-2121
Fax(770) 502-2113
Organization SubpartNo
Authorized OfficialTonia R DavisCredentialing Manager · (770) 809-3036
Enumeration DateNovember 6, 2015
Last NPPES UpdateDecember 2, 2019
✔ NPI 1508239997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1825 HIGHWAY 34 E STE 1200, Newnan, GA 30265
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Other Providers at the Same Location NPPES 11

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

GABRIELLE GALON PA-C
Physician Assistant
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Coweta County (770) 502-2121
ALEXIS NOELLE ROOK PA-C
Physician Assistant
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Coweta County (770) 502-2121
NGOZI IKEME SOLE PROPRIETOR
Registered Nurse
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Coweta County (770) 502-2112
DR. MICHAEL P. DUCHYNSKI M.D.
Emergency Medicine
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Coweta County (770) 502-2112
BRANDON PERRY COOK PA-C
Physician Assistant
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Coweta County (888) 341-3360
JUNE TIBALEKA MD
Emergency Medicine
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Coweta County (770) 502-2112
DEIDRE JANNELL PARMLEY P.A.
Physician Assistant
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Coweta County (888) 341-3360
ANDREW BENJAMIN MAAS PA-C
Physician Assistant
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265
Coweta County (770) 502-2112

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 1508239997. It was assigned to this organization in the NPPES registry on November 6, 2015.

Where is Wellstreet Of Georgia PC located?

Wellstreet Of Georgia PC is located at 1825 Highway 34 E Ste 1200, Newnan, GA 30265. The listed phone number is (770) 502-2121.

What is Wellstreet Of Georgia PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Wellstreet Of Georgia PC was last updated on December 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.