HARTLEY HEALTH AND WELLNESS ASSOCIATES, LLC
NPI 1033514302
Nursing Care in Canton, GA

Active since October 29, 2014CLIA 11D2102721 · Waiver
2000 VILLAGE PROFESSIONAL DR STE 110, CANTON, GA 30114(678) 880-6698(470) 299-9936 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hartley Health And Wellness Associates, Llc NPPES

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

HARTLEY HEALTH AND WELLNESS ASSOCIATES, LLC (NPI 1033514302) is a healthcare organization registered as a nursing care in Canton, Georgia and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Michael Ray Hartley, Owner, as its authorized official.

NPPES Registry Identity

NPI1033514302
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameHARTLEY HEALTH AND WELLNESS ASSOCIATES, LLC
Location Address2000 VILLAGE PROFESSIONAL DR STE 110Canton, GA 30114-8499
Mailing Address207 Crestmont WayCanton, GA 30114-8875 · (147) 021-0198 · Fax (147) 077-7226
Fax(470) 299-9936
Organization SubpartNo
Authorized OfficialMichael Ray HartleyOwner · (404) 276-9043
Enumeration DateOctober 29, 2014
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1033514302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in GA · 11050778
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2000 VILLAGE PROFESSIONAL DR STE 110, Canton, GA 30114

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hartley Health And Wellness Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Hartley Health And Wellness Associates, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner14
Internal Medicine1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1659297059
2000 VILLAGE PROFESSIONAL DR STE 110
Canton, GA 30114
(678) 880-6698
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588703565
207 CRESTMONT WAY
Canton, GA 30114
(678) 880-6698
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1235929969
502 PAYNE RD
Woodstock, GA 30188
(404) 921-4366
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1962045773
150 GENTILLY BLVD
Cartersville, GA 30120
(470) 490-6510
✔ PECOS14 mi
Nurse Practitioner
NPI 1992561153
222 VICTORIA HEIGHTS LN
Dallas, GA 30132
(336) 596-6882
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1902619836
5035 DEER BROOK TRL
Austell, GA 30106
(770) 374-6055
✔ PECOS26 mi
Nurse Practitioner
NPI 1265634042
80 BURBANK DR NW
Atlanta, GA 30314
(267) 975-6765
✔ PECOS30 mi
Internal Medicine
NPI 1316957939
6934 BROAD ST
Douglasville, GA 30134
(770) 702-7728
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1164105334
961 GREEN ST NE
Gainesville, GA 30501
(770) 534-0656
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1013550508
8315 CHAMPION TRL
Fairburn, GA 30213
(770) 892-7878
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1942819545
1267 HIGHWAY 54 W STE 2200
Fayetteville, GA 30214
(770) 716-0051
✔ PECOS50 mi
Nurse Practitioner
NPI 1821637331
75 CAMERONS WAY
Covington, GA 30016
(678) 361-3800
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1588277867
10 MUIRFIELD DR
Covington, GA 30016
(404) 641-6237
✔ PECOS56 mi
Nurse Practitioner
NPI 1184423790
14044 SE 48TH AVE
Starke, FL 32091
(904) 263-5422
✔ PECOS326 mi
Nurse Practitioner
NPI 1003300757
2 EMBARCADERO CTR LBBY LEVEL
San Francisco, CA 94111
(888) 663-6331
✔ PECOS✔ Accepts Medicare2,121 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

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 11D2102721

Hartley Health And Wellness Associates · Canton, GA
Active · expires Sep 27, 2027
CLIA Number11D2102721
Laboratory TypeMobile Primary Care Servi
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorShanda T. Hartley
Laboratory Phone(678) 880-6698
Laboratory LocationHartley Health And Wellness Associates207 Crestmont Way, Canton, GA 30114
CLIA data matches this NPI record on: Address Name 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 Hartley Health And Wellness Associates, LLC's NPI number?

The NPI number for Hartley Health And Wellness Associates, LLC is 1033514302. It was assigned to this organization in the NPPES registry on October 29, 2014.

Where is Hartley Health And Wellness Associates, LLC located?

Hartley Health And Wellness Associates, LLC is located at 2000 Village Professional Dr Ste 110, Canton, GA 30114. The listed phone number is (678) 880-6698.

What is Hartley Health And Wellness Associates, LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Is Hartley Health And Wellness Associates, LLC enrolled in Medicare?

Yes. Hartley Health And Wellness Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hartley Health And Wellness Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Hartley Health And Wellness Associates, 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. The largest specialties are Nurse Practitioner (14) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hartley Health And Wellness Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2102721) is associated with this NPI, valid through September 27, 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 Hartley Health And Wellness Associates, LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.