OrganizationActive
Wellness Medicine
NPI 1417428129 · Family Medicine Physician · Hampton, GA
Provider details
- NPI number
- 1417428129
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wellness Medicine
- Organization subpart
- Yes
- Authorized official
- Jelunder Clark, Medical Director(678) 479-1234
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
990 Bear Creek Blvd Ste G
Hampton, GA 30228-1864
Phone: (678) 479-1234
Fax: (678) 479-5678
Approximate (ZIP-level) locationGet directions
Mailing address
990 Bear Creek Blvd Ste G
Hampton, GA 30228-1864
Registry dates
- Enumerated
- 2018-12-07
- Last updated
- 2018-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.