Wellness Source LLC
Wellness Source LLC is a healthcare organization registered as Family Nurse Practitioner in Hyattsville, MD, holding Type 2 (organization) NPI 1780031724 since 2016. The authorized official on file is Marshalee George, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780031724 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wellness Source LLC |
| Other name | <Unavail> |
| Practice address | 4301 GARDEN CITY DR STE 304, Hyattsville, MD, 20785 |
| Phone | 3012350060 |
| Fax | 2403247720 |
| Enumeration date | 2016-05-19 |
| Last updated in NPPES | 2026-05-27 |
Authorized official
| Name | Marshalee George |
|---|---|
| Title | Medical Director |
| Phone | 3012350060 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0802X | Addiction Psychiatry Physician | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | Secondary | — | — |
| 261QP2300X | Primary Care Clinic/Center | Secondary | — | — |
| 363LF0000X | Family Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051747821 | Medicaid | DC | — |
| 600082700 | Medicaid | MD | — |
| 540582 | Other | MD | MEDICARE PTAN |
Copy-ready billing details
Provider: Wellness Source LLC NPI: 1780031724 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: 4301 GARDEN CITY DR STE 304, Hyattsville, MD, 20785
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952370272 | Marshalee George | Individual | Psychiatric/Mental Health Nurse Practitioner | Hyattsville, MD |
| 1104872225 | Kordai Decoteau | Individual | Podiatrist | Hyattsville, MD |
| 1114420320 | Wellness Source LLC | Organization | Registered Dietitian | Hyattsville, MD |
| 1205339413 | Wellness Source LLC | Organization | Psychiatric/Mental Health Nurse Practitioner | Hyattsville, MD |
| 1235699620 | Sara Schwartz | Individual | Family Nurse Practitioner | Hyattsville, MD |
| 1588219059 | Susan Lopez | Individual | Registered Dietitian | Hyattsville, MD |
| 1174160980 | Survivor Sources Inc | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Hyattsville, MD |
| 1316667355 | Kathryn Lopez | Individual | Registered Dietitian | Hyattsville, MD |
Verify this record
Cross-check NPI 1780031724 against the authoritative CMS record: view Wellness Source LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Wellness Source LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-27.