WELLNESS PRIMARY CARE LLC NPI 1124291927

NPI Information

NPI: 1124291927
Provider Name: WELLNESS PRIMARY CARE, LLC
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
CLIA Number: 11D1062906
Address: 5456 JIMMY CARTER BLVD
SUITE 240
NORCROSS, GA
ZIP 30093
Phone: (678) 380-9889

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NPI Details

WELLNESS PRIMARY CARE, LLC is a case manager care coordinator in Norcross, GA. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. WELLNESS PRIMARY CARE, LLC NPI is 1124291927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5456 JIMMY CARTER BLVD
SUITE 240
NORCROSS, GA
ZIP 30093-511
Phone: (678) 380-9889

The provider's authorized official is Paul Huy-dao Nguyen .
The authorized official title is Physician and has the following contact phone number (678) 380-9889.

The CLIA number assigned to this NPI record is 11D1062906 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/12/2008 and was last updated on 8/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator		047813	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000884793C	MEDICAID	GEORGIA
2	11BDXHB	MEDICARE PIN	GEORGIA
3	H19592	OTHER	GEORGIA	UPIN
4	GRP6225	OTHER	GEORGIA	MEDICARE GROUP NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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