MEDICARE: COMMUNITY WELLNESS SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1831052737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY WELLNESS SERVICES

Provider Business Mailing Address
First Line	:	157 WELLINGHAM AVE APT 63
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-4642
Country	:	US
Telephone Number	:	252-470-4941
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 WELLINGHAM AVE APT 63
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-4642
Country	:	US
Telephone Number	:	252-470-4941
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ALTON MONTREAL ROGERS
Credential	:
Telephone Number	:	252-470-4941

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “COMMUNITY WELLNESS SERVICES ” Practice Location

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