Eric Daniel Wellons, M.D.
in Newnan, GA. Individual provider (NPI-1).
NPI number1790761799
StatusActive
Last updated in NPPESSep 26, 2012
Details
- NPI
- 1790761799
- Entity type
- Individual (NPI-1)
- Name
- Eric Daniel Wellons
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2005
- Last updated
- Sep 26, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - VASCULAR SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 2086S0129X | 049120 | GA | Yes |
Practice location
775 Poplar RdSuite 260
Newnan, GA 30265-8300
Phone 404-524-0095 · Fax 404-658-9558
Mailing address
775 Poplar RdSuite 260
Newnan, GA 30265-8300
Phone 404-524-0095 · Fax 404-658-9558
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