Premier Family Wellness Center
NPI 1043826852ActiveOrganization· Family Medicine· Stockbridge, GA
Family Medicine in Stockbridge, Georgia, registered in NPPES in September 2020. The authorized official on file is Angela Evans, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043826852 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2020 |
| Last updated in NPPES | Sep 17, 2020 |
| Certified by provider | Sep 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Family Medicine providers in Stockbridge
- 1972743813
- 1649623380
- 1205201456
- 1598120271
- 1699190603
- 1770219628
- 1548219660
- 1578742870
- 1578111910
- 1023022852
- 1023034626
- 1578884516