OrganizationActive
Wildwood Sanitarium Incorporated
NPI 1093058265 · Community/Retail Pharmacy · Wildwood, GA
Wildwood Sanitarium Incorporated is a Community/Retail Pharmacy organization in Wildwood, GA (NPI 1093058265).
Provider details
- NPI number
- 1093058265
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Shelly Miller, Director of Pharmacy(706) 419-0023
- License
- PHRE009672 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
435 Life Style Ln
Wildwood, GA 30757-4174
Phone: (706) 419-0023
Fax: (706) 820-1474
Street-level locationGet directions
Mailing address
435 Life Style Ln
Wildwood, GA 30757-4174
Other names (DBA / former)
- Doing business as
- Wildwood Lifestyle Center and Hospital
Registry dates
- Enumerated
- 2013-04-05
- Last updated
- 2013-11-27
Frequently asked questions
- What is Wildwood Sanitarium Incorporated's NPI number?
- Wildwood Sanitarium Incorporated's National Provider Identifier (NPI) is 1093058265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wildwood Sanitarium Incorporated?
- Wildwood Sanitarium Incorporated is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Wildwood Sanitarium Incorporated located?
- Wildwood Sanitarium Incorporated's practice location on file with NPPES is 435 Life Style Ln, Wildwood, GA 30757-4174.
- What is Wildwood Sanitarium Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Wildwood Sanitarium Incorporated is (706) 419-0023.
- Who is the authorized official for Wildwood Sanitarium Incorporated?
- The authorized official listed on Wildwood Sanitarium Incorporated's NPPES record is Shelly Miller, Director of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wildwood Sanitarium Incorporated's NPI active?
- Yes — Wildwood Sanitarium Incorporated's NPI (1093058265) is active in the NPPES registry as of the last update on 2013-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.