P Praxis·MD
● Active Type 2 · Organization

West Georgia Wellness Center Llc

Clinic/Center·Hiram, GA· NPI 1740987379 · Enumerated 2023 · 3 years on NPI
West Georgia Wellness Center Llc is 1 of 117 clinic/center organizations in Georgia.
NPI age
3 years
Enumerated 2023-02-14
Primary specialty
Clinic/Center
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Widota
Coo
Last NPPES update
2026-01-08
Source: monthly bulk 2026-05

How this organization compares

Across 117 active clinic/center providers in Georgia.

NPI age
3 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 36% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
126 Enterprise Path Ste 104b
Hiram, GA 301412655
📞 6094809853
Mailing address
51 Sagemont Ct
Acworth, GA 301012620
📞 7703099417

Authorized official

Andrew Widota
Coo
📞 6094809853

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QR0405X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X
  • Psychiatric Residential Treatment Facility
    A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and...
    taxonomy 323P00000X
  • Substance Abuse Rehabilitation Facility
    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
    taxonomy 324500000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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