NPI age
17 years
Enumerated 2009-02-18
● Active Type 2 · Organization
Wide Range Of Resources, Inc
Wide Range Of Resources, Inc is 1 of 730 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Oliver
Clinical Director
Last NPPES update
2009-02-18
Source: monthly bulk 2026-05
How this organization compares
Across 730 active clinic/center providers in Georgia.
NPI age
17 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-02Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1776 N Jefferson St Ne, Suite B
Milledgeville, GA 310612229
Mailing address
1776 N Jefferson St Ne, Suite B
Milledgeville, GA 310612229
Authorized official
Frezalia L. Oliver, LCSW
Clinical Director
📞 4784513112
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Titus Bundrage Specialist/Technologist Cardiovascular NPI 1669310272
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 538773445A | |
| 01 (GA) | GRP7368 | MEDICARE GROUP PIN |
| 05 (GA) | 139858482A | |
| 05 (GA) | 139858482B | |
| 05 (GA) | 139858482C |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.