Wellness One Stone Mountain is a
Family Medicine based in Stone Mountain, Georgia. Wellness One Stone Mountain is licensed to practice in Georgia (license number 052963) and their current practice location is
6254 Memorial Drive, Suite F, Stone Mountain, Georgia. It can be reached at their office (for appointments etc.) via phone at
(770) 469-1600.
NPI number for Wellness One Stone Mountain is 1356565592 and their current mailing address is Po Box 672842, Marietta, Georgia. Wellness One Stone Mountain
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1356565592.
Healthcare Provider's Profile
| Full Name | Wellness One Stone Mountain |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 6254 Memorial Drive, Stone Mountain, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356565592
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Wellness One Stone Mountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356565592 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CHIRO06423 (Georgia) | Primary |
| 207Q00000X | Family Medicine | 024767 (Georgia) | Primary |
| 207Q00000X | Family Medicine | 052963 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wellness One Stone Mountain is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wellness One Stone Mountain
Po Box 672842,
Marietta, GA 30006-2842
Ph: (770) 469-1600 | Wellness One Stone Mountain
6254 Memorial Drive, Suite F,
Stone Mountain, GA 30083
Ph: (770) 469-1600 |
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