BWELL MEDICAL AND WELLNESS CENTER
NPI 1093308918
Nurse Practitioner - Family in Douglasville, GA
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bwell Medical And Wellness Center 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 Bwell Medical And Wellness Center, 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 11D2230239
Bwell Medical And Wellness Center · Douglasville, 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 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.
Is Bwell Medical And Wellness Center enrolled in Medicare?
Yes. Bwell Medical And Wellness Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bwell Medical And Wellness Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bwell Medical And Wellness Center. 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 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.
# Bwell Medical And Wellness Center · NPI 1093308918
Family organization in Douglasville, Georgia. Organization record, active in the CMS NPPES registry since February 12, 2021.
## Identity
- **NPI:** 1093308918 (Entity type: Organization)
- **Enumerated:** February 12, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Vivian Adu-Aboagye, ADMINISTRATOR
## Practice location
- **Address:** 5933 STEWART PKWY, Douglasville, GA 30135-2371
- **Phone:** (470) 331-9468 · **Fax:** (770) 234-5717
## 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:** May 24, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093308918) · Data from the CMS NPPES public registry.