DUNWOODY WELLNESS NPI 1275128464

NPI Information

  • NPI: 1275128464
  • Provider Name: DUNWOODY WELLNESS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: PRIMEHEALTHMD
  • CLIA Number: 11D2224897
  • Address: 4505 ASHFORD DUNWOODY RD NE STE 15B
    DUNWOODY, GA
    ZIP 30346
  • Phone: (770) 800-3353

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NPI Details

DUNWOODY WELLNESS is a primary care clinic center in Dunwoody, GA. DUNWOODY WELLNESS NPI is 1275128464. The provider is registered as an organization entity type.
The provider Is Doing Business As Primehealthmd.

The provider's business location address is:

4505 ASHFORD DUNWOODY RD NE STE 15B
DUNWOODY, GA
ZIP 30346-516
Phone: (770) 800-3353

The provider's authorized official is Jim Ward .
The authorized official title is Partner and has the following contact phone number (770) 274-9511.

The CLIA number assigned to this NPI record is 11D2224897 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2021 and was last updated on 7/25/2024.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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