=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013833672
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WECARE HEALTH AND WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2026
-----------------------------------------------------
Last Update Date | 06/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 701 HOGUE AVE
-----------------------------------------------------
City | ROCKMART
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30153-1921
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-606-1059
-----------------------------------------------------
Fax | 770-242-6260
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 701 HOGUE AVE
-----------------------------------------------------
City | ROCKMART
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30153-1921
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-606-1059
-----------------------------------------------------
Fax | 770-242-6260
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CREDENTIALING/BILLING ADMIN
-----------------------------------------------------
Name | MICHELLE BONE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 706-406-1101
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------