HEALING WATERS WICHITA LC – General Practice Physician, NPI 1407144058

HEALING WATERS WICHITA LC is a healthcare provider. based in Buford, Georgia. specializing in General Practice Physician. The NPI Number for HEALING WATERS WICHITA LC is 1407144058

Main info

Organization
Name
HEALING WATERS WICHITA LC
NPI
1407144058
Phone
(678) 730-7780
Address
33 BUFORD VILLAGE WAY
Authorized Official
AMANDA GORECKI PRESIDENT
Enumeration Date
18 July 2011
Last Update Date
30 March 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

Provider Addresses for HEALING WATERS WICHITA LC

  • 33 BUFORD VILLAGE WAY

    SUITE 325

    BUFORD, GA 305188843

    Phone: (678) 730-7780

    Fax: (678) 730-7786

    Type: Mailing

  • 2000 N ROCK RD

    SUITE 100

    WICHITA, KS 672061201

    Phone: (316) 262-2995

    Fax: (316) 262-2546

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30518)

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Reviews

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Frequently asked questions

How do payers reference HEALING WATERS WICHITA LC?
For HEALING WATERS WICHITA LC, use NPI 1407144058 as the unique 10-digit identifier.
Is HEALING WATERS WICHITA LC still an active registrant?
HEALING WATERS WICHITA LC carries an active NPI according to the public dataset.
What clinical focus is listed for HEALING WATERS WICHITA LC?
At a glance, HEALING WATERS WICHITA LC is tied to General Practice Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for HEALING WATERS WICHITA LC?
Travel planning: use Buford, Georgia as the reference point for HEALING WATERS WICHITA LC, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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