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

Active since March 13, 2012CLIA 11D1022093 · Waiver
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: August 16, 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 holds a CLIA Waiver certificate valid through September 19, 2026 and 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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
Active · expires 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.

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.

COVENANT MEDICAL DIAGNOSTICS
Clinical Medical Laboratory
2759 MOUNT ZION PKWY, SUITE A/B
JONESBORO, GA 30236
Clayton County (770) 471-8011
BISOL HOME CARE SERVICES, INC
Home Health
2759 MOUNT ZION PKWY, SUITE D
JONESBORO, GA 30236
Clayton County (404) 285-7276
DR. OLUROPO A AYENI MD
Clinic/Center (Urgent Care)
2759 MOUNT ZION PKWY, SUITE C
JONESBORO, GA 30236
Clayton County (678) 289-8338
WINNIE KENYANYA OLEMUSA
Nurse Practitioner (Family)
2759 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (678) 289-8338
MRS. CASSANDRA AMEY MS. CCC-SLP
Speech-Language Pathologist
2759 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (770) 912-8438
MT ZION URGENT CARE CENTER LLC
Clinic/Center (Urgent Care)
2759 MOUNT ZION PKWY, SUITE D
JONESBORO, GA 30236
Clayton County (770) 880-6924
ALEXANDRA SHULAR
Speech-Language Pathologist
2759 MOUNT ZION PKWY, SUITE A
JONESBORO, GA 30236
Clayton County (770) 703-3796
MRS. OLUBUNMI TINA AYENI NP
Nurse Practitioner (Primary Care)
2759 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (678) 289-8338

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.

Does Wellspring Family Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1022093) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellspring Family Medical Center, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wellspring Family Medical Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.