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

Q: 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.

Q: What is Welgen One Of Georgia LLC's specialty?

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

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: October 25, 2026.

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Welgen One Of Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Welgen One Of Georgia LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Dinesh Gandhi, MD

Internal Medicine

NPI 1568443273

236 FORSYTH ST SW
Atlanta, GA 30303

(404) 521-2410

✔ PECOS✔ Accepts Medicare24 mi

Jayson Weir, M.D.

Internal Medicine

NPI 1518257138

917 MOUNTAIN ST
Carson City, NV 89703

(775) 515-0100

✔ PECOS2,005 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Welgen One Of Georgia LLC enrolled in Medicare?

Yes. Welgen One Of Georgia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Welgen One Of Georgia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Welgen One Of Georgia LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 2 months 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.