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WELLSPRING FAMILY MEDICAL CENTER, INC
NPI 1538434311
Clinic/Center - Medical Specialty in Jonesboro, GA

Active since March 13, 2012
2759 MOUNT ZION PKWY, SUITE 3, JONESBORO, GA 30236(678) 289-8338(770) 603-0515 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellspring Family Medical Center, Inc NPPES

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

WELLSPRING FAMILY MEDICAL CENTER, INC (NPI 1538434311) is a healthcare organization registered as a medical specialty in Jonesboro, Georgia and active in the NPI registry since March 2012. The organization lists Olubunmi A Ayeni, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1538434311
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWELLSPRING FAMILY MEDICAL CENTER, INC
Location Address2759 MOUNT ZION PKWY, SUITE 3Jonesboro, GA 30236-2568
Mailing Address2759 Mount Zion Pkwy Ste CJonesboro, GA 30236-2568 · (678) 289-8338 · Fax (770) 603-0515
Phone(678) 289-8338
Fax(770) 603-0515
Organization SubpartNo
Authorized OfficialOlubunmi A AyeniOffice Manager · (678) 289-8338
Enumeration DateMarch 13, 2012
Last NPPES UpdateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
✔ NPI 1538434311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 43534
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2759 MOUNT ZION PKWY, Jonesboro, GA 30236
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Other Identifiers 2

Medicaid00794857DGA
Medicaid00794857CGA

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 Family Medical Center, Inc 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 Family Medical Center, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oluropo Ayeni, MD
Internal Medicine
NPI 1275572190
2759 MOUNT ZION PKWY SUITE C
Jonesboro, GA 30236
(678) 289-8338
✔ 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.

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 11D1022093

Well Spring Medical Center · Jonesboro, GA
Expired · Sep 19, 2026
CLIA Number11D1022093
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorOluropo Ayemi
Laboratory Phone(678) 289-8338
Laboratory LocationWell Spring Medical Center2759 Mount Zion Parkway, Jonesboro, GA 30236
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Medical Center, Inc's NPI number?

The NPI number for Wellspring Family Medical Center, Inc is 1538434311. It was assigned to this organization in the NPPES registry on March 13, 2012.

Where is Wellspring Family Medical Center, Inc located?

Wellspring Family Medical Center, Inc is located at 2759 Mount Zion Pkwy Suite 3, Jonesboro, GA 30236. The listed phone number is (678) 289-8338.

What is Wellspring Family Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Wellspring Family Medical Center, Inc enrolled in Medicare?

Yes. Wellspring Family Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellspring Family Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wellspring Family Medical Center, Inc. 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 Family Medical Center, Inc was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.