EVERGREEN WELLNESS GROUP NPI 1487249769

NPI Information

  • NPI: 1487249769
  • Provider Name: EVERGREEN WELLNESS GROUP
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 13800 BETHANY OAKS POINTE
    ALPHARETTA, GA
    ZIP 30004
  • Phone: (678) 761-2408

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NPI Details

EVERGREEN WELLNESS GROUP is a primary care clinic center in Alpharetta, GA. EVERGREEN WELLNESS GROUP NPI is 1487249769. The provider is registered as an organization entity type.

The provider's business location address is:

13800 BETHANY OAKS POINTE
ALPHARETTA, GA
ZIP 30004-319
Phone: (678) 761-2408

The provider's authorized official is Melissa Hosea .
The authorized official title is Owner and has the following contact phone number (678) 791-2408.

The enumeration date for this NPI number is 3/8/2021 and was last updated on 3/31/2021.

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: 11/21/2025

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