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H.O.P.E. CLINICAL RESEARCH & WELLNESS
NPI 1003484403
Clinical Nurse Specialist in Conyers, GA

Active since June 14, 2021CLIA 11D2220489 · Waiver
992 E FREEWAY DR SE STE B, CONYERS, GA 30094(770) 679-5591(770) 679-5633 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About H.o.p.e. Clinical Research & Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

H.O.P.E. CLINICAL RESEARCH & WELLNESS (NPI 1003484403) is a healthcare organization registered as a clinical nurse specialist in Conyers, Georgia and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Boncille Mattox, Chief Of Marketing/crc, as its authorized official.

NPPES Registry Identity

NPI1003484403
Entity TypeOrganization
Primary Taxonomy364S00000X
Legal Business NameH.O.P.E. CLINICAL RESEARCH & WELLNESS
Location Address992 E FREEWAY DR SE STE BConyers, GA 30094-5916
Mailing Address992 E Freeway Dr Se Ste BConyers, GA 30094-5916 · (770) 679-5591 · Fax (770) 679-5633
Phone(770) 679-5591
Fax(770) 679-5633
Organization SubpartNo
Authorized OfficialBoncille MattoxChief Of Marketing/crc · (770) 679-5591
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1003484403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
992 E FREEWAY DR SE STE B, Conyers, GA 30094
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2220489

Hope Clinical Research And Wellness · Conyers, GA
Active · expires Apr 12, 2027
CLIA Number11D2220489
Laboratory TypeClinical Research
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorBoncille Mattox
Laboratory Phone(770) 679-5591
Laboratory LocationHope Clinical Research And Wellness992 East Freeway Drive SE Suite B, Conyers, GA 30094
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is H.O.P.E. Clinical Research & Wellness's NPI number?

The NPI number for H.O.P.E. Clinical Research & Wellness is 1003484403. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is H.O.P.E. Clinical Research & Wellness located?

H.O.P.E. Clinical Research & Wellness is located at 992 E Freeway Dr SE Ste B, Conyers, GA 30094. The listed phone number is (770) 679-5591.

What is H.O.P.E. Clinical Research & Wellness's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Does H.O.P.E. Clinical Research & Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2220489) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for H.O.P.E. Clinical Research & Wellness was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.