ABIDE HEALTH & WELLNESS LLC
NPI 1144905985
Internal Medicine - Geriatric Medicine in Dothan, AL

Q: What is Abide Health & Wellness LLC's NPI number?

The NPI number for Abide Health & Wellness LLC is 1144905985. It was assigned to this organization in the NPPES registry on June 20, 2023.

Q: What is Abide Health & Wellness LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since June 20, 2023CLIA 01D2289489 · Waiver

3113 WESLEY WAY STE 2, DOTHAN, AL 36305(334) 203-4145(334) 245-0335 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Jun 20, 2023 (2 updates tracked since 2023).

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About Abide Health & Wellness Llc NPPES

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

ABIDE HEALTH & WELLNESS LLC (NPI 1144905985) is a healthcare organization registered as a geriatric medicine in Dothan, Alabama and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Juanita Titrud Heersink, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1144905985

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameABIDE HEALTH & WELLNESS LLC

Location Address3113 WESLEY WAY STE 2Dothan, AL 36305-2004

Mailing Address3113 Wesley Way Ste 2Dothan, AL 36305-2004 · (334) 203-4145 · Fax (334) 245-0335

Phone(334) 203-4145

Fax(334) 245-0335

Organization SubpartNo

Authorized OfficialJuanita Titrud HeersinkMedical Director · (205) 807-6482

Enumeration DateJune 20, 2023

Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration

NPPES CertifiedDecember 6, 2023

✔ NPI 1144905985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

3113 WESLEY WAY STE 2, Dothan, AL 36305

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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 01D2289489

Abide Health & Wellness LLC · Dothan, AL

Active · expires Sep 11, 2027

CLIA Number01D2289489

Laboratory TypePhysician Office

Certificate Effective DateSeptember 12, 2025

Certificate Expiration DateSeptember 11, 2027

Laboratory DirectorDr. Juanita T. Heersink

Laboratory Phone(334) 479-0007

Laboratory LocationAbide Health & Wellness LLC3113 Wesley Way Suite 2, Dothan, AL 36305

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

TREVA T EDDLEMAN RDN

Dietitian, Registered