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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WELGEN ONE OF GEORGIA LLC
NPI 1023746732
General Practice in Lawrenceville, GA

Active since August 10, 2022CLIA Certified · 2 labs
5415 SUGARLOAF PKWY STE 1108, LAWRENCEVILLE, GA 30043(833) 935-4361 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 27, 2026, Nov 8, 2022, Aug 10, 2022 (3 updates tracked since 2022).

About Welgen One Of Georgia Llc NPPES

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

WELGEN ONE OF GEORGIA LLC (NPI 1023746732) is a healthcare organization registered as a general practice in Lawrenceville, Georgia and active in the NPI registry since August 2022. The organization holds 2 active CLIA laboratory certificates and lists Shanira Delacruz, President, as its authorized official.

NPPES Registry Identity

NPI1023746732
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWELGEN ONE OF GEORGIA LLC
Location Address5415 SUGARLOAF PKWY STE 1108Lawrenceville, GA 30043-7832
Mailing Address309 E Paces Ferry Rd Ne Ste 400Atlanta, GA 30305-2319 · (770) 212-0015
Phone(833) 935-4361
Organization SubpartNo
Authorized OfficialShanira DelacruzPresident · (201) 233-2155
Enumeration DateAugust 10, 2022
Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1023746732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedCounselorTaxonomy 101Y00000X
Also ListedAllergy & Immunology · Clinical & Laboratory ImmunologyTaxonomy 207KI0005X
Also ListedSpecialist/Technologist, Health Information · Registered Record AdministratorTaxonomy 246YR1600X
Also ListedNurse PractitionerTaxonomy 363L00000X
5415 SUGARLOAF PKWY STE 1108, Lawrenceville, GA 30043
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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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 10D2309746

Welgen One Of Florida LLC · Miami, FL
Active · expires Aug 19, 2028
CLIA Number10D2309746
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2026
Certificate Expiration DateAugust 19, 2028
Laboratory DirectorJayson A. Weir
Laboratory Phone(770) 212-0015
Laboratory LocationWelgen One Of Florida LLC1150 NW 72nd Ave Tower 1 Ste 455, Miami, FL 33126
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2315509

Welgen One Of Penn, LLC · Pittsburgh, PA
Active · expires Dec 12, 2026
CLIA Number39D2315509
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorDr. Jeffrey A. Gazzara
Laboratory Phone(770) 212-0015
Laboratory LocationWelgen One Of Penn, LLC239 4th Ave, Suite 1401, Pittsburgh, PA 15222
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENDRA JAWUANE LUMPKIN RN
Registered Nurse
5415 SUGARLOAF PKWY STE 1108
LAWRENCEVILLE, GA 30043
Gwinnett County (478) 244-1319
HOLISTIC ESSENTIAL WELLNESS LLC
Clinic/Center (Health Service)
5415 SUGARLOAF PKWY STE 1108, #5853
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 505-1069

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 Welgen One Of Georgia LLC's NPI number?

The NPI number for Welgen One Of Georgia LLC is 1023746732. It was assigned to this organization in the NPPES registry on August 10, 2022.

Where is Welgen One Of Georgia LLC located?

Welgen One Of Georgia LLC is located at 5415 Sugarloaf Pkwy Ste 1108, Lawrenceville, GA 30043. The listed phone number is (833) 935-4361.

What is Welgen One Of Georgia LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Welgen One Of Georgia LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Welgen One Of Georgia LLC was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.