ALIVE HEALTH AND WELLNESS LLC
NPI 1053011452
Nurse Practitioner - Primary Care in Lawrenceville, GA
About Alive Health And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALIVE HEALTH AND WELLNESS LLC (NPI 1053011452) is a healthcare organization registered as a primary care in Lawrenceville, Georgia and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Esther Sweetheart Gensinger, Owner/authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alive Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Alive Health And Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2284054
Alive Health And Wellness LLC · Lawrenceville, GAFrequently 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 Alive Health And Wellness LLC's NPI number?
The NPI number for Alive Health And Wellness LLC is 1053011452. It was assigned to this organization in the NPPES registry on March 6, 2023.
Where is Alive Health And Wellness LLC located?
Alive Health And Wellness LLC is located at 377 W Pike St Ste A3, Lawrenceville, GA 30046. The listed phone number is (470) 523-5570.
What is Alive Health And Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Alive Health And Wellness LLC enrolled in Medicare?
Yes. Alive Health And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alive Health And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Alive Health And Wellness 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 Alive Health And Wellness LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2284054) is associated with this NPI, valid through June 15, 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 Alive Health And Wellness LLC was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Alive Health And Wellness Llc · NPI 1053011452
Primary Care organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since March 6, 2023.
## Identity
- **NPI:** 1053011452 (Entity type: Organization)
- **Enumerated:** March 6, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Esther Gensinger, OWNER/AUTHORIZED OFFICIAL
## Practice location
- **Address:** 377 W PIKE ST STE A3, Lawrenceville, GA 30046-3206
- **Phone:** (470) 523-5570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053011452) · Data from the CMS NPPES public registry.