Healthcare Provider Details

I. General information

NPI: 1245186915
Provider Name (Legal Business Name): WON DIRECT PRIMARY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 PIEDMONT RD NE STE 200
ATLANTA GA
30305-1406
US

IV. Provider business mailing address

1605 CHURCH ST STE 610-110
DECATUR GA
30033-6065
US

V. Phone/Fax

Practice location:
  • Phone: 770-758-3230
  • Fax:
Mailing address:
  • Phone: 770-758-3230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEIGH IGBOKWE-HAMILTON
Title or Position: OWNER/ CEO
Credential: MD
Phone: 770-758-3230