OrganizationActive
Mediwellness, LLC
NPI 1750615464 · Neurology Chiropractor · Tucker, GA
Mediwellness, LLC is a Neurology Chiropractor organization in Tucker, GA (NPI 1750615464).
Provider details
- NPI number
- 1750615464
- Entity type
- Organization
- Primary specialty
- Neurology ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Fannie Clark, Ceo-Director(678) 531-9692
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2227 Idlewood Rd
Suite 200
Tucker, GA 30084-4827
Phone: (678) 531-9692
Street-level locationGet directions
Mailing address
2227 Idlewood Rd
Tucker, GA 30084-4827
Registry dates
- Enumerated
- 2009-09-28
- Last updated
- 2009-09-28
Frequently asked questions
- What is Mediwellness, LLC's NPI number?
- Mediwellness, LLC's National Provider Identifier (NPI) is 1750615464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mediwellness, LLC?
- Mediwellness, LLC is classified in the NPPES registry as Neurology Chiropractor (Chiropractic Providers).
- Where is Mediwellness, LLC located?
- Mediwellness, LLC's practice location on file with NPPES is 2227 Idlewood Rd, Tucker, GA 30084-4827.
- What is Mediwellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mediwellness, LLC is (678) 531-9692.
- Who is the authorized official for Mediwellness, LLC?
- The authorized official listed on Mediwellness, LLC's NPPES record is Fannie Clark, Ceo-Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mediwellness, LLC's NPI active?
- Yes — Mediwellness, LLC's NPI (1750615464) is active in the NPPES registry as of the last update on 2009-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.