Evergreen Primary Care and Wellness PC
NPI 1285134999ActiveOrganization· Internal Medicine· Cumming, GA
Internal Medicine in Cumming, Georgia, registered in NPPES in February 2018. The authorized official on file is Heather B. Wanner, NP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285134999 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2018 |
| Last updated in NPPES | Mar 8, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 52651 | GA |
| Family Medicine, Geriatric Medicine | 207QG0300X | RN229572 | GA |
| Nurse Practitioner, Family | 363LF0000X | RN229572 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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