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PIEDMONT URGENTCARE BY WELLSTREET
NPI 1891265773
Non-Pharmacy Dispensing Site in Smyrna, GA

Active since December 04, 2018CLIA 11D2161214 · Waiver
1155 CONCORD RD SE STE 200, SMYRNA, GA 30080(770) 809-3036(404) 662-2399 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2019, Feb 26, 2019, Dec 11, 2018 and 1 more (4 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 1891265773) is a healthcare organization registered as a non-pharmacy dispensing site in Smyrna, Georgia and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Tonia Rana Davis, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1891265773
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameWELLSTREET OF GEORGIA PC
Location Address1155 CONCORD RD SE STE 200Smyrna, GA 30080-4207
Mailing Address3350 Riverwood Pkwy Se Ste 1850Atlanta, GA 30339-3300 · (770) 809-3036
Phone(770) 809-3036
Fax(404) 662-2399
Organization SubpartNo
Authorized OfficialTonia Rana DavisCredentialing Coordinator · (770) 809-3036
Enumeration DateDecember 4, 2018
Last NPPES UpdateNovember 13, 20194 updates tracked since enumeration
✔ NPI 1891265773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.)
Also ListedClinic/CenterTaxonomy 261Q00000X
1155 CONCORD RD SE STE 200, Smyrna, GA 30080
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Other Names 1

Doing Business AsPiedmont Urgentcare By Wellstreet

Other Identifiers 1

Medicaid003137211AGA

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 11D2161214

Piedmont Urgentcare By Wellstreet · Smyrna, GA
Active · expires Jan 28, 2027
CLIA Number11D2161214
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorLee A. Resnick
Laboratory Phone(678) 660-5137
Laboratory LocationPiedmont Urgentcare By Wellstreet1155 Concord Road, Suite 200, Smyrna, GA 30080
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

REGINE ROBINSON
Behavior Technician
1155 CONCORD RD SE STE 200
SMYRNA, GA 30080
Cobb County (470) 666-2550
WELLSTREET OF GEORGIA PC
Non-Pharmacy Dispensing Site
1155 CONCORD RD SE STE 200
SMYRNA, GA 30080
Cobb County (678) 600-5137
PRIYANKA DAVE PA-C
Physician Assistant (Medical)
1155 CONCORD RD SE STE 200
SMYRNA, GA 30080
Cobb County (678) 660-5137
MRS. OCTAVIA ALLEN
Nurse Practitioner (Family)
1155 CONCORD RD SE STE 200
SMYRNA, GA 30080
Cobb County (843) 465-6548

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 1891265773. It was assigned to this organization in the NPPES registry on December 4, 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 1155 Concord Rd SE Ste 200, Smyrna, GA 30080. The listed phone number is (770) 809-3036.

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 11D2161214) is associated with this NPI, valid through January 28, 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 November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.