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THRIVE HEALTH CENTER LLC
NPI 1104789247
Family Medicine in Jonesboro, GA

Active since December 05, 2025CLIA 11D2343535 · Waiver
8180 TARA BLVD, JONESBORO, GA 30236(770) 892-9248 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Dec 12, 2025, Dec 5, 2025 (3 updates tracked since 2025).

About Thrive Health Center Llc NPPES

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

THRIVE HEALTH CENTER LLC (NPI 1104789247) is a healthcare organization registered as a family medicine in Jonesboro, Georgia and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Maxine Owusu, Director, as its authorized official.

NPPES Registry Identity

NPI1104789247
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHRIVE HEALTH CENTER LLC
Location Address8180 TARA BLVDJonesboro, GA 30236-3175
Mailing Address8180 Tara BlvdJonesboro, GA 30236-3175 · (404) 717-3014
Phone(770) 892-9248
Organization SubpartNo
Authorized OfficialMaxine OwusuDirector · (404) 717-3014
Enumeration DateDecember 5, 2025
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1104789247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedLegal MedicineTaxonomy 173000000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
8180 TARA BLVD, Jonesboro, GA 30236
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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 11D2343535

Thrive Health Center · Jonesboro, GA
Active · expires May 6, 2028
CLIA Number11D2343535
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorMaxine Owusu
Laboratory Phone(404) 717-3014
Laboratory LocationThrive Health Center8180 Tara Boulevard, Suite B, Jonesboro, GA 30236
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 Thrive Health Center LLC's NPI number?

The NPI number for Thrive Health Center LLC is 1104789247. It was assigned to this organization in the NPPES registry on December 5, 2025.

Where is Thrive Health Center LLC located?

Thrive Health Center LLC is located at 8180 Tara Blvd, Jonesboro, GA 30236. The listed phone number is (770) 892-9248.

What is Thrive Health Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Thrive Health Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2343535) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thrive Health Center LLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.