LUXE AESTHETICS & WELLNESS, LLC
NPI 1174417877
Clinic/Center in Red Bay, AL

Active since June 06, 2025CLIA 01D2336246 · Waiver
221 HOSPITAL RD, RED BAY, AL 35582(256) 376-2032 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2025, Jun 6, 2025 (2 updates tracked since 2025).

About Luxe Aesthetics & Wellness, Llc NPPES

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

LUXE AESTHETICS & WELLNESS, LLC (NPI 1174417877) is a healthcare organization registered as a clinic/center in Red Bay, Alabama and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Devin Fancher, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1174417877
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLUXE AESTHETICS & WELLNESS, LLC
Location Address221 HOSPITAL RDRed Bay, AL 35582-3858
Mailing Address711 Newell RdRed Bay, AL 35582-3502
Organization SubpartNo
Authorized OfficialDevin FancherOwner/nurse Practitioner · (256) 376-2032
Enumeration DateJune 6, 2025
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1174417877 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).
221 HOSPITAL RD, Red Bay, AL 35582

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luxe Aesthetics & Wellness, Llc 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 Luxe Aesthetics & Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1588046155
221 HOSPITAL RD
Red Bay, AL 35582
(256) 376-2032
✔ PECOS✔ Accepts MedicareSame address

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 01D2336246

Luxe Aesthetics & Wellness · Red Bay, AL
Active · expires Dec 28, 2027
CLIA Number01D2336246
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorMr. Devin Fancher
Laboratory Phone(256) 376-2032
Laboratory LocationLuxe Aesthetics & Wellness221 Hospital Road, Red Bay, AL 35582
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 Luxe Aesthetics & Wellness, LLC's NPI number?

The NPI number for Luxe Aesthetics & Wellness, LLC is 1174417877. It was assigned to this organization in the NPPES registry on June 6, 2025.

Where is Luxe Aesthetics & Wellness, LLC located?

Luxe Aesthetics & Wellness, LLC is located at 221 Hospital Rd, Red Bay, AL 35582. The listed phone number is (256) 376-2032.

What is Luxe Aesthetics & Wellness, LLC's specialty?

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

Is Luxe Aesthetics & Wellness, LLC enrolled in Medicare?

Yes. Luxe Aesthetics & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luxe Aesthetics & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Luxe Aesthetics & Wellness, LLC. 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 Luxe Aesthetics & Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2336246) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luxe Aesthetics & Wellness, LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.