BWELL MEDICAL AND WELLNESS CENTER
NPI 1093308918
Nurse Practitioner - Family in Douglasville, GA

Active since February 12, 2021CLIA 11D2230239 · Waiver
5933 STEWART PKWY, DOUGLASVILLE, GA 30135(470) 331-9468(770) 234-5717 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, Feb 12, 2021 (2 updates tracked since 2021).

About Bwell Medical And Wellness Center NPPES

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

BWELL MEDICAL AND WELLNESS CENTER (NPI 1093308918) is a healthcare organization registered as a family in Douglasville, Georgia and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Vivian Adu-aboagye, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093308918
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBWELL MEDICAL AND WELLNESS CENTER
Location Address5933 STEWART PKWYDouglasville, GA 30135-2371
Mailing Address5933 Stewart PkwyDouglasville, GA 30135-2371 · (470) 331-9468 · Fax (770) 234-5717
Fax(770) 234-5717
Organization SubpartNo
Authorized OfficialVivian Adu-aboagyeAdministrator · (470) 331-9468
Enumeration DateFebruary 12, 2021
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
NPI 1093308918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
5933 STEWART PKWY, Douglasville, GA 30135

Accepted Insurance

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 11D2230239

Bwell Medical And Wellness Center · Douglasville, GA
Active · expires Jul 20, 2027
CLIA Number11D2230239
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorVivian Adu-Aboagye
Laboratory Phone(470) 331-9468
Laboratory LocationBwell Medical And Wellness Center5933 Stewart Parkway, Douglasville, GA 30135
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 Bwell Medical And Wellness Center's NPI number?

The NPI number for Bwell Medical And Wellness Center is 1093308918. It was assigned to this organization in the NPPES registry on February 12, 2021.

Where is Bwell Medical And Wellness Center located?

Bwell Medical And Wellness Center is located at 5933 Stewart Pkwy, Douglasville, GA 30135. The listed phone number is (470) 331-9468.

What is Bwell Medical And Wellness Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Bwell Medical And Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2230239) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bwell Medical And Wellness Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bwell Medical And Wellness Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bwell Medical And Wellness Center was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.