NPI age
13 years
Enumerated 2013-04-05
● Active Type 2 · Organization
Wildwood Sanitarium Incorporated
Wildwood Sanitarium Incorporated is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Director Of Pharmacy
Last NPPES update
2013-11-27
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
435 Life Style Ln
Wildwood, GA 307574174
Mailing address
435 Life Style Ln
Wildwood, GA 307574174
Authorized official
Shelly Miller
Director Of Pharmacy
📞 7064190023
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Sandra Belizaire Social Worker NPI 1740871037
- Jocelyn Garcia Nurse Practitioner NPI 1831877745
- Nana Yaa Kwarteng, NP Nurse Practitioner NPI 1962166041
- Andrew Thrash, R.PH. Pharmacist NPI 1922076264
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2139673 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Wildwood Lifestyle Center and Hospital
Practice context
Multi-provider organization. 4 individual providers 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.