ANGELS OF GRACE COMMUNITY WELLNESS CENTER, INC.
NPI 1154810844
Clinic/Center in Cairo, GA

Active since May 08, 2018
195 MARTIN LUTHER KING JR AVE SW, CAIRO, GA 39828(229) 397-9355 Get Directions Write a Review

NPPES record last updated: June 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2020, May 8, 2018 (2 updates tracked since 2018).

About Angels Of Grace Community Wellness Center, Inc. NPPES

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

ANGELS OF GRACE COMMUNITY WELLNESS CENTER, INC. (NPI 1154810844) is a healthcare organization registered as a clinic/center in Cairo, Georgia and active in the NPI registry since May 2018. The organization lists Mary Weaver-anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154810844
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameANGELS OF GRACE COMMUNITY WELLNESS CENTER, INC.
Location Address195 MARTIN LUTHER KING JR AVE SWCairo, GA 39828-2605
Mailing AddressPo Box 1510Cairo, GA 39828-0970
Organization SubpartNo
Authorized OfficialMary Weaver-andersonCeo · (229) 397-9355
Enumeration DateMay 8, 2018
Last NPPES UpdateJune 13, 20202 updates tracked since enumeration
NPPES CertifiedJune 13, 2020
NPI 1154810844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
195 MARTIN LUTHER KING JR AVE SW, Cairo, GA 39828

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
195 MARTIN LUTHER KING JR AVE SW
CAIRO, GA 39828
Clinic/Center (Rural Health)
195 MARTIN LUTHER KING JR AVE SW
CAIRO, GA 39828
Nurse Practitioner (Family)
195 MARTIN LUTHER KING JR AVE SW
CAIRO, GA 39828

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 Angels Of Grace Community Wellness Center, Inc.'s NPI number?

The NPI number for Angels Of Grace Community Wellness Center, Inc. is 1154810844. It was assigned to this organization in the NPPES registry on May 8, 2018.

Where is Angels Of Grace Community Wellness Center, Inc. located?

Angels Of Grace Community Wellness Center, Inc. is located at 195 Martin Luther King Jr Ave SW, Cairo, GA 39828. The listed phone number is (229) 397-9355.

What is Angels Of Grace Community Wellness Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Angels Of Grace Community Wellness Center, Inc. was last updated on June 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.