INNER VOYAGE WELLNESS CENTER NPI 1508563651

NPI Information

  • NPI: 1508563651
  • Provider Name: INNER VOYAGE WELLNESS CENTER
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 2230 TOWNE LAKE PKWY
    BLDG 900 STE 250
    WOODSTOCK, GA
    ZIP 30189
  • Phone: (404) 713-4280

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NPI Details

INNER VOYAGE WELLNESS CENTER is an addiction medicine family medicine in Woodstock, GA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. INNER VOYAGE WELLNESS CENTER NPI is 1508563651. The provider is registered as an organization entity type.

The provider's business location address is:

2230 TOWNE LAKE PKWY
BLDG 900 STE 250
WOODSTOCK, GA
ZIP 30189-584
Phone: (404) 713-4280

The provider's authorized official is Jeff Baucom .
The authorized official title is Ceo and has the following contact phone number (404) 713-4280.

The enumeration date for this NPI number is 2/9/2023 and was last updated on 9/8/2025.

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
1261QH0100XClinic/CenterHealth ServiceNo
2261QM2500XClinic/CenterMedical SpecialtyNo
3163WP0809XRegistered NursePsychiatric/Mental Health, AdultNo
42472E0500XTechnician, OtherEEGNo
5251S00000XCommunity/Behavioral HealthNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7207QA0401XFamily MedicineAddiction MedicineYes

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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