WELLNESS MEDICINE
NPI 1992826705
Family Medicine in Hampton, GA

Active since April 02, 2007
990 BEAR CREEK BLVD, SUITE G, HAMPTON, GA 30228(678) 479-1234(678) 479-5678 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellness Medicine NPPES

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

WELLNESS MEDICINE (NPI 1992826705) is a healthcare organization registered as a family medicine in Hampton, Georgia and active in the NPI registry since April 2007. The organization lists Jelunder Clark, Medical Director, Family Practice, as its authorized official.

NPPES Registry Identity

NPI1992826705
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEXECUTIVE MEDICAL HEALTHCARE SERVICES
Location Address990 BEAR CREEK BLVD, SUITE GHampton, GA 30228-1864
Mailing AddressPo Box 224Lovejoy, GA 30250-0224 · (678) 479-1234 · Fax (678) 479-5678
Fax(678) 479-5678
Organization SubpartNo
Authorized OfficialJelunder ClarkMedical Director, Family Practice · (678) 479-1234
Enumeration DateApril 2, 2007
Last NPPES UpdateMarch 7, 2023
NPI 1992826705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 042544
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
990 BEAR CREEK BLVD, Hampton, GA 30228

Other Names 1

Doing Business AsWellness Medicine

Other Identifiers 3

Other11D1014694GA · Clia
Medicaid250161583AGA
Other042544GA · Medical License

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

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.

Behavior Analyst
990 BEAR CREEK BLVD
HAMPTON, GA 30228
Optometrist
990 BEAR CREEK BLVD, STE. D
HAMPTON, GA 30228
Dentist (General Practice)
990 BEAR CREEK BLVD, SUITE E
HAMPTON, GA 30228
Physician Assistant (Medical)
990 BEAR CREEK BLVD, SUITE G
HAMPTON, GA 30228

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 Executive Medical Healthcare Services's NPI number?

The NPI number for Executive Medical Healthcare Services is 1992826705. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Wellness Medicine.

Where is Executive Medical Healthcare Services located?

Executive Medical Healthcare Services is located at 990 Bear Creek Blvd Suite G, Hampton, GA 30228. The listed phone number is (678) 479-1234.

What is Executive Medical Healthcare Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Executive Medical Healthcare Services was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.