NPI age
18 years
Enumerated 2007-07-23
● Active Type 2 · Organization
Charles C Wells
Charles C Wells is 1 of 318 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wells
MD
Last NPPES update
2007-08-24
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
18 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
770 Hemlock St
MacOn, GA 312012170
Mailing address
60 Chastain Center Blvd Nw, Suite 66
Kennesaw, GA 301445598
Authorized official
Charles C Wells
MD
📞 9785367400
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Samuel Cauthen Physical Therapist NPI 1972928281
- Cheryl Gay Physical Therapist NPI 1720403942
- Kathleen McKinney Physical Therapist NPI 1538584735
- Noel Sardoma Physical Therapist NPI 1023433265
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 915875 | BLUE CROSS |
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.