Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mediwellness, LLC

Neurology Chiropractor in Tucker, GA · enumerated 2009 · authorized official Fannie Clark, Ceo-Director.

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

National Provider Identifier

1750615464

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Registry record

Entity type Organization (Type 2)

Legal business name Mediwellness, LLC

Practice address 2227 Idlewood Rd, Suite 200, Tucker, GA, 30084

Phone (678) 531-9692

Enumeration date Sep 28, 2009

Last updated in NPPES Sep 28, 2009

Taxonomy & classification

111NN0400X Neurology Chiropractor Chiropractic Providers Primary

Authorized official

Name Fannie Clark

Title Ceo-Director

Phone (678) 531-9692

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

Where is Mediwellness, LLC located?

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-09-28. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-28.