Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Palmetto Health Council Inc

Organization Family Medicine Physician · NPI 1740372473

Palmetto Health Council Inc is a Family Medicine Physician in Palmetto, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

643 Main St
Palmetto, GA 30268-1138
Phone: (404) 929-8824
Fax: (404) 929-9769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X · Licence H800040 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence H800040 (GA)

Record details

NPI number1740372473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Wollenzien — Chief Executive Officer · (404) 929-8824
Other names Community Medical Center; Yourtown Health
NPI enumeratedSeptember 29, 2006
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021
Mailing address643 Main St, Palmetto, GA 30268-1138

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