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

Active since November 14, 2021CLIA 11D2310165 · Waiver
2810 PEACHTREE INDUSTRIAL BLVD STE D, DULUTH, GA 30097(470) 785-0294 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, Sep 10, 2024, Aug 20, 2024 and 2 more (5 updates tracked since 2021).

About Wellness Solution 360 NPPES

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

WELLNESS SOLUTION 360 (NPI 1801552831) is a healthcare organization registered as a psychiatric/mental health in Duluth, Georgia and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Pamela D Freeman, Founder, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1801552831
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWELLNESS SOLUTION 360
Location Address2810 PEACHTREE INDUSTRIAL BLVD STE DDuluth, GA 30097-8142
Mailing Address2810 Peachtree Industrial Blvd Ste DDuluth, GA 30097-8142 · (470) 261-1010
Phone(470) 785-0294
Organization SubpartNo
Authorized OfficialPamela D FreemanFounder, Nurse Practitioner · (470) 261-1010
Enumeration DateNovember 14, 2021
Last NPPES UpdateNovember 13, 20245 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1801552831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2810 PEACHTREE INDUSTRIAL BLVD STE D, Duluth, GA 30097
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Other Identifiers 1

Medicaid003213914AGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 11D2310165

Wellness Solution 360 · Duluth, GA
Active · expires Aug 27, 2026
CLIA Number11D2310165
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorPamela Freeman
Laboratory Phone(470) 291-1010
Laboratory LocationWellness Solution 3602810 Peachtree Industrial Blvd, Unit D, Duluth, GA 30097
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

KATHRYN HENDLEY LMSW
Social Worker
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097
Gwinnett County (404) 919-6722
IHYDRATE LLC
Clinic/Center
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097
Gwinnett County (855) 486-8773
LIVING BALANCE PSYCHOTHERAPY LLC
Social Worker (Clinical)
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097
Gwinnett County (404) 919-8496
ROSHAUNDRA C PHIFER NP
Nurse Practitioner (Psychiatric/Mental Health)
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097
Gwinnett County (404) 381-1178
P FREEMAN LLC
Registered Nurse (Pain Management)
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA 30097
Gwinnett County (770) 312-6484

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 Wellness Solution 360's NPI number?

The NPI number for Wellness Solution 360 is 1801552831. It was assigned to this organization in the NPPES registry on November 14, 2021.

Where is Wellness Solution 360 located?

Wellness Solution 360 is located at 2810 Peachtree Industrial Blvd Ste D, Duluth, GA 30097. The listed phone number is (470) 785-0294.

What is Wellness Solution 360's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Wellness Solution 360 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2310165) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellness Solution 360 was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.