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PRIMAL MEDICAL AND WELLNESS LLC
NPI 1043103682
Internal Medicine in Perry, GA

Active since June 02, 2025CLIA 11D2325923 · Waiver
1031 KEITH DR STE 101, PERRY, GA 31069(478) 390-6984 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primal Medical And Wellness Llc NPPES

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

PRIMAL MEDICAL AND WELLNESS LLC (NPI 1043103682) is a healthcare organization registered as an internal medicine in Perry, Georgia and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Luke Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1043103682
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMAL MEDICAL AND WELLNESS LLC
Location Address1031 KEITH DR STE 101Perry, GA 31069-2948
Mailing AddressPo Box 25Forsyth, GA 31029-0025 · (478) 390-6984
Phone(478) 390-6984
Organization SubpartNo
Authorized OfficialLuke WalkerOwner · (478) 244-1065
Enumeration DateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1043103682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1031 KEITH DR STE 101, Perry, GA 31069
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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 11D2325923

Primal Medical And Wellness · Perry, GA
Active · expires Jun 23, 2027
CLIA Number11D2325923
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorLuke T. Walker
Laboratory Phone(478) 244-1065
Laboratory LocationPrimal Medical And Wellness1031 Keith Drive, Suite 101, Perry, GA 31069
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. LUKE WALKER MD
Internal Medicine
1031 KEITH DR STE 101
PERRY, GA 31069
Houston County (478) 302-0326

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 Primal Medical And Wellness LLC's NPI number?

The NPI number for Primal Medical And Wellness LLC is 1043103682. It was assigned to this organization in the NPPES registry on June 2, 2025.

Where is Primal Medical And Wellness LLC located?

Primal Medical And Wellness LLC is located at 1031 Keith Dr Ste 101, Perry, GA 31069. The listed phone number is (478) 390-6984.

What is Primal Medical And Wellness LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Primal Medical And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2325923) is associated with this NPI, valid through June 23, 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 Primal Medical And Wellness LLC was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.