| Your Wellness Sources | |
|
4301 Garden City Dr Ste 304 Hyattsville MD 20785-6105 | |
| (301) 235-0060 | |
| (240) 324-7720 |
| Full Name | Your Wellness Sources |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4301 Garden City Dr Ste 304, Hyattsville, Maryland |
| Authorized Official Name and Position | Marshalee George (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3012350060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Wellness Sources 4301 Garden City Dr Ste 304 Hyattsville MD 20785-6105 Ph: (301) 235-0600 | Your Wellness Sources 4301 Garden City Dr Ste 304 Hyattsville MD 20785-6105 Ph: (301) 235-0060 |
| NPI Number | 1780031724 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/27/2026 |
| Certification Date | 05/27/2026 |
| Medicare PECOS PAC ID | 2668751454 |
|---|---|
| Medicare Enrollment ID | O20161118000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780031724 | NPI | - | NPPES |
| 051747821 | Medicaid | DC | |
| 540582 | Other | MD | MEDICARE PTAN |
| 600082700 | Medicaid | MD |
| Provider Name | Marshalee George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952370272 PECOS PAC ID: 6507880341 Enrollment ID: I20161118000925 |
| Provider Name | Jaime Durant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154690766 PECOS PAC ID: 2567684277 Enrollment ID: I20161128000378 |
| Provider Name | Ngozi Mewe-pira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336364082 PECOS PAC ID: 5294801692 Enrollment ID: I20161129001121 |
| Provider Name | Johanese Sandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154819977 PECOS PAC ID: 1153674734 Enrollment ID: I20181029002026 |
| Provider Name | Patrick Kaguamba Nganga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982916607 PECOS PAC ID: 8426244500 Enrollment ID: I20191018000818 |
| Provider Name | Dhaya Nandipamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992371157 PECOS PAC ID: 4981077195 Enrollment ID: I20230308001215 |
| Provider Name | Laverne Sharisse Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275168478 PECOS PAC ID: 3779993001 Enrollment ID: I20230420003165 |
| Provider Name | Akos Antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760966436 PECOS PAC ID: 9436567617 Enrollment ID: I20230504002870 |
| Provider Name | Tillie Mirsky |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174226591 PECOS PAC ID: 0244689172 Enrollment ID: I20231218001079 |
| Provider Name | Nalynn Bellegarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831651900 PECOS PAC ID: 2062745292 Enrollment ID: I20240604003195 |
| Provider Name | Susan Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609521335 PECOS PAC ID: 6901349539 Enrollment ID: I20240624001350 |
| Provider Name | Harolyn Dooley Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619644499 PECOS PAC ID: 2567997638 Enrollment ID: I20241126002256 |
| Provider Name | Sara Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235699620 PECOS PAC ID: 2163765991 Enrollment ID: I20251014004657 |
| Provider Name | Eboni T Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245047513 PECOS PAC ID: 9739673914 Enrollment ID: I20251217003988 |
| Provider Name | Susan Armour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871660027 PECOS PAC ID: 0648497925 Enrollment ID: I20260217003802 |
| Provider Name | Lorenzo Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760160634 PECOS PAC ID: 6507349883 Enrollment ID: I20260314000275 |
| Provider Name | Kordai I Decoteau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104872225 PECOS PAC ID: 7911089081 Enrollment ID: I20260417001070 |
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