INTROSPEKTS WELLNESS GROUP NPI 1801151410

NPI Information

  • NPI: 1801151410
  • Provider Name: INTROSPEKTS WELLNESS GROUP
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • :
  • Address: 4300 PACES FERRY RD SE STE 500
    ATLANTA, GA
    ZIP 30339
  • Phone: (770) 948-8000

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NPI Details

INTROSPEKTS WELLNESS GROUP is a general practice in Atlanta, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee INTROSPEKTS WELLNESS GROUP NPI is 1801151410. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4300 PACES FERRY RD SE STE 500
ATLANTA, GA
ZIP 30339-714
Phone: (770) 948-8000

The provider's authorized official is Maryann Wilson .
The authorized official title is Director and has the following contact phone number (770) 948-8000.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 10/21/2025.

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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2104100000XSocial WorkerNo
3225700000XMassage TherapistNo
4208D00000XGeneral PracticeYes

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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