NPI age
19 years
Enumerated 2006-09-29
● Active Type 2 · Organization
Palmetto Health Council Inc
Palmetto Health Council Inc is 1 of 462 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wollenzien
Chief Executive Officer
Last NPPES update
2021-09-10
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
643 Main St
Palmetto, GA 302681138
Mailing address
643 Main St
Palmetto, GA 302681138
Authorized official
Jon William Wollenzien, DBA
Chief Executive Officer
📞 4049298824
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Adam Barefoot, D.M.D. Dentist NPI 1447561501
- Tara Brown, D.M.D. Dentist NPI 1982059143
- Nasser Fiqia, DMD Dentist NPI 1942424221
- Ashleigh Heath, NP Nurse Practitioner NPI 1699167684
- Marion Hood, MD Obstetrics & Gynecology NPI 1467451724
- Milanieva Latorre, MD Family Medicine NPI 1609944917
- Haley Leatherbarrow, DDS Dentist NPI 1336886878
- Frederick Moore, DMD Dentist NPI 1215157060
- Gabriela Pena, M.D. Family Medicine NPI 1528322922
- Isabel Soles, PA Physician Assistant NPI 1699843953
- Hector Viera, DMD Dentist NPI 1750388906
- Kim Willard Jelks, MD Family Medicine NPI 1639127590
- Haley Williams, DNP, APRN, FNP-C Nurse Practitioner NPI 1982595815
- Joanne Williams, MD, MPH Family Medicine NPI 1437251923
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000228379A | |
| 05 (GA) | 000472128F | |
| 05 (GA) | 931512872A | |
| 05 (GA) | 000472128A | |
| 05 (GA) | 000472128G | |
| 05 (GA) | 000472128E | |
| 05 (GA) | 000472128H |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Community Medical Center
-
YourTown Health
Practice context
Multi-provider organization. 14 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.