OrganizationActive
Wellstreet of Georgia PC
NPI 1619624681 · Non-Pharmacy Dispensing Site · Ellenwood, GA
Wellstreet of Georgia PC is a Non-Pharmacy Dispensing Site organization in Ellenwood, GA (NPI 1619624681).
Provider details
- NPI number
- 1619624681
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Katie Cassarino, Practice Manager(678) 414-2824
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4475 W Village Pkwy
Ellenwood, GA 30294-2869
Phone: (770) 507-7950
Fax: (770) 507-7978
Approximate (ZIP-level) locationGet directions
Mailing address
4475 W Village Pkwy
Ellenwood, GA 30294-2869
Other names (DBA / former)
- Doing business as
- Piedmont Urgent Care By Wellstreet
Registry dates
- Enumerated
- 2022-03-09
- Last updated
- 2022-03-09
- Certified
- 2022-03-09
Frequently asked questions
- What is Wellstreet of Georgia PC's NPI number?
- Wellstreet of Georgia PC's National Provider Identifier (NPI) is 1619624681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellstreet of Georgia PC?
- Wellstreet of Georgia PC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Wellstreet of Georgia PC located?
- Wellstreet of Georgia PC's practice location on file with NPPES is 4475 W Village Pkwy, Ellenwood, GA 30294-2869.
- What is Wellstreet of Georgia PC's phone number?
- The practice phone number listed in the NPPES registry for Wellstreet of Georgia PC is (770) 507-7950.
- Who is the authorized official for Wellstreet of Georgia PC?
- The authorized official listed on Wellstreet of Georgia PC's NPPES record is Katie Cassarino, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellstreet of Georgia PC's NPI active?
- Yes — Wellstreet of Georgia PC's NPI (1619624681) is active in the NPPES registry as of the last update on 2022-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.