Jc Wellness Center LLC
Nurse Practitioner, Psych/Mental Health in McDonough, GA. Organization (NPI-2).
NPI number1750135745
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1750135745
- Entity type
- Organization (NPI-2)
- Legal business name
- Jc Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2024
- Certification date
- Feb 27, 2024
- Last updated
- Apr 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
903 Pavilion Ct Ste DMcDonough, GA 30253-6672
Phone 470-414-0554
Mailing address
903 Pavilion Ct Ste DMcDonough, GA 30253-6672
Phone 470-414-0554
Authorized official
Jovita Anyanwu
Owner
4704140554
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