OrganizationActive
Wellness One of Suwanee
NPI 1124243704 · Family Medicine Physician · Suwanee, GA
Provider details
- NPI number
- 1124243704
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Middleton, Billing Manager(770) 850-0857
- License
- CHIRO008139 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1500 Peachtree Industrial Blvd
Suite 290
Suwanee, GA 30024
Phone: (678) 482-7375
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 672641
Marietta, GA 30006-2641
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.