WELLSTREET OF GEORGIA PC
NPI 1619624681
Non-Pharmacy Dispensing Site in Ellenwood, GA

Active since March 09, 2022
4475 W VILLAGE PKWY, ELLENWOOD, GA 30294(770) 507-7950(770) 507-7978 Get Directions Write a Review

NPPES record last updated: March 9, 2022. 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 1619624681), doing business as Piedmont Urgent Care By Wellstreet, is a healthcare organization registered as a non-pharmacy dispensing site in Ellenwood, Georgia and active in the NPI registry since March 2022. The organization lists Katie Cassarino, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1619624681
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameWELLSTREET OF GEORGIA PC
Location Address4475 W VILLAGE PKWYEllenwood, GA 30294-2869
Mailing Address4475 W Village PkwyEllenwood, GA 30294-2869 · (770) 507-7950 · Fax (770) 507-7978
Fax(770) 507-7978
Organization SubpartNo
Authorized OfficialKatie CassarinoPractice Manager · (678) 414-2824
Enumeration DateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
NPI 1619624681 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.)

4475 W VILLAGE PKWY, Ellenwood, GA 30294

Other Names 1

Doing Business AsPiedmont Urgent Care By Wellstreet

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294
Physician Assistant
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294
Nurse Practitioner (Family)
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294
Nurse Practitioner
4475 W VILLAGE PKWY
ELLENWOOD, GA 30294

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 1619624681. It was assigned to this organization in the NPPES registry on March 9, 2022.

Where is Wellstreet Of Georgia PC located?

Wellstreet Of Georgia PC is located at 4475 W Village Pkwy, Ellenwood, GA 30294. The listed phone number is (770) 507-7950.

What is Wellstreet Of Georgia PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wellstreet Of Georgia PC was last updated on March 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.