Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Palmetto Health Council Inc

Federally Qualified Health Center (FQHC) in Palmetto, GA · enumerated 2006 · authorized official Jon Wollenzien, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740372473

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Palmetto Health Council Inc

Other name <Unavail>

Practice address 643 Main St, Palmetto, GA, 30268

Phone (404) 929-8824

Fax (404) 929-9769

Enumeration date Sep 29, 2006

Last updated in NPPES Sep 10, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License H800040 (GA) Secondary

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities · License H800040 (GA) Primary

Authorized official

Name Jon Wollenzien

Title Chief Executive Officer

Phone (404) 929-8824

Other identifiers

Identifier	Type	State	Issuer
000228379A	Medicaid	GA	-
000472128F	Medicaid	GA	-
931512872A	Medicaid	GA	-
000472128A	Medicaid	GA	-
000472128G	Medicaid	GA	-
000472128E	Medicaid	GA	-
000472128H	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-09-10. Verify at npiregistry.cms.hhs.gov.

Where is Palmetto Health Council Inc located?

The practice location on file with NPPES is in Palmetto, GA.

Providers at this address

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Hector Viera Dentist · Palmetto, GA NPI 1750388906 Marion Hood Obstetrics Physician · Palmetto, GA NPI 1467451724 Kim Willard Jelks Family Medicine Physician · Palmetto, GA NPI 1639127590 Joanne Williams Family Medicine Physician · Palmetto, GA NPI 1437251923 Isabel Soles Physician Assistant · Palmetto, GA NPI 1699843953 Milanieva Latorre Family Medicine Physician · Palmetto, GA NPI 1609944917 Nasser Fiqia Dentist · Palmetto, GA NPI 1942424221 Frederick Moore General Practice Dentistry · Palmetto, GA NPI 1215157060

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-10.