COLORECTAL WELLNESS CENTER LLC
NPI 1851035778
Colon & Rectal Surgery in Fayetteville, GA

Active since April 26, 2022
1275 HIGHWAY 54 W STE 205, FAYETTEVILLE, GA 30214(770) 325-2275(833) 707-2404 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2024, Aug 4, 2022, Apr 26, 2022 (3 updates tracked since 2022).

About Colorectal Wellness Center Llc NPPES

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

COLORECTAL WELLNESS CENTER LLC (NPI 1851035778) is a healthcare organization registered as a colon & rectal surgery in Fayetteville, Georgia and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Atlanta and lists Erin King-mullins, Owner, as its authorized official.

NPPES Registry Identity

NPI1851035778
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameCOLORECTAL WELLNESS CENTER LLC
Location Address1275 HIGHWAY 54 W STE 205Fayetteville, GA 30214-4538
Mailing Address1275 Highway 54 W Ste 205Fayetteville, GA 30214-4538 · (770) 325-2275 · Fax (833) 707-2404
Fax(833) 707-2404
Organization SubpartNo
Authorized OfficialErin King-mullinsOwner · (504) 473-3237
Enumeration DateApril 26, 2022
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1851035778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1275 HIGHWAY 54 W STE 205, Fayetteville, GA 30214

Secondary Practice Location 1

Location 15829 Campbellton Rd SW Ste 104-128Atlanta, GA 30331-8037 · Phone (770) 325-2275

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 Colorectal Wellness Center LLC's NPI number?

The NPI number for Colorectal Wellness Center LLC is 1851035778. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is Colorectal Wellness Center LLC located?

Colorectal Wellness Center LLC is located at 1275 Highway 54 W Ste 205, Fayetteville, GA 30214. The listed phone number is (770) 325-2275.

What is Colorectal Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

What insurance does Colorectal Wellness Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Colorectal Wellness Center LLC 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 Colorectal Wellness Center LLC was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.