WELLNESS SOLUTION 360
NPI 1801552831
Nurse Practitioner - Psychiatric/Mental Health in Duluth, GA

NPI Status: Active since November 14, 2021

Contact Information

2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA
ZIP 30097
Phone: (470) 785-0294

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • CLIA Number: 11D2310165
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 08-27-2026

About WELLNESS SOLUTION 360

This page provides the complete NPI Profile along with additional information for Wellness Solution 360, a provider established in Duluth, Georgia operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1801552831 assigned on November 2021. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Wellness Solution 360 operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Pamela D Freeman Fnp-c (Founder, Nurse Practitioner)

NPI
1801552831
Provider Name
WELLNESS SOLUTION 360
Entity Type
Organization
Location Address
2810 PEACHTREE INDUSTRIAL BLVD STE D DULUTH, GA 30097
Location Phone
(470) 785-0294
Mailing Address
2810 PEACHTREE INDUSTRIAL BLVD STE D DULUTH, GA 30097
Mailing Phone
(470) 261-1010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2021
Last Update Date
11-13-2024
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A nurse practitioner (NP) like Wellness Solution 360 is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2251E00000XAgencies

Home Health

 
3261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
4363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAMELA D FREEMAN FNP-C

Authorized Official Title
FOUNDER, NURSE PRACTITIONER
Authorized Official Phone
(470) 261-1010

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
003213914AMEDICAID (05)GA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2310165
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
August 28, 2024
Certificate Expiration Date
August 27, 2026
Laboratory Director
PAMELA FREEMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellness Solution 360 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801552831, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 0 + 5 + 4 + 8 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1801552831.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097
Social Worker (Clinical)
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097
Social Worker
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097
Nurse Practitioner (Psychiatric/Mental Health)
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097
Registered Nurse (Pain Management)
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801552831, enumerated as an "organization" on November 14, 2021.

The provider is located at 2810 PEACHTREE INDUSTRIAL BLVD STE D DULUTH, GA 30097 and the phone number is (470) 785-0294.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.