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PIEDMONT URGENTCARE BY WELLSTREET
NPI 1861980955
Non-Pharmacy Dispensing Site in Loganville, GA

Active since April 25, 2018CLIA 11D2102561 · Waiver
4763 ATLANTA HWY STE 420, LOGANVILLE, GA 30052(470) 395-6793 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Apr 25, 2018 (2 updates tracked since 2018).

About Piedmont Urgentcare By Wellstreet NPPES

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

PIEDMONT URGENTCARE BY WELLSTREET (NPI 1861980955) is a healthcare organization registered as a non-pharmacy dispensing site in Loganville, Georgia and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Samantha Alvord, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1861980955
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameWELLSTREET OF GEORGIA PC
Location Address4763 ATLANTA HWY STE 420Loganville, GA 30052-6788
Mailing Address3350 Riverwood Pkwy Se Ste 1850Atlanta, GA 30339-3300
Phone(470) 395-6793
Organization SubpartNo
Authorized OfficialSamantha AlvordPractice Manager · (770) 521-6690
Enumeration DateApril 25, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1861980955 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.)
4763 ATLANTA HWY STE 420, Loganville, GA 30052
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Other Names 1

Doing Business AsPiedmont Urgentcare By Wellstreet

Other Identifiers 1

Medicaid003179873AGA

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 11D2102561

Piedmont Urgentcare By Wellstreet · Loganville, GA
Active · expires Sep 24, 2027
CLIA Number11D2102561
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorCassandra Donnelly
Laboratory Phone(470) 395-6793
Laboratory LocationPiedmont Urgentcare By Wellstreet4763 Atlanta Hwy, Ste 410, Loganville, GA 30052
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PHILIP BOADU NP
Nurse Practitioner (Family)
4763 ATLANTA HWY STE 420
LOGANVILLE, GA 30052
Gwinnett County (404) 395-6781

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 1861980955. It was assigned to this organization in the NPPES registry on April 25, 2018. The provider is doing business as Piedmont Urgentcare By Wellstreet.

Where is Wellstreet Of Georgia PC located?

Wellstreet Of Georgia PC is located at 4763 Atlanta Hwy Ste 420, Loganville, GA 30052. The listed phone number is (470) 395-6793.

What is Wellstreet Of Georgia PC's specialty?

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

Does Wellstreet Of Georgia PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2102561) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellstreet Of Georgia PC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.