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BAXLEY WELLNESS PHARMACY INC.
NPI 1205438330
Pharmacy - Community/Retail Pharmacy in Baxley, GA

Active since November 13, 2020CLIA 11D2200171 · Waiver
160 AZALEA ROAD, BAXLEY, GA 31513(912) 705-3784 Get Directions Write a Review

NPPES record last updated: December 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2020, Dec 2, 2020, Nov 13, 2020 (3 updates tracked since 2020).

About Baxley Wellness Pharmacy Inc. NPPES

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

BAXLEY WELLNESS PHARMACY INC. (NPI 1205438330) is a healthcare organization registered as a community/retail pharmacy in Baxley, Georgia and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Briana Aycock, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1205438330
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBAXLEY WELLNESS PHARMACY INC.
Location Address160 AZALEA ROADBaxley, GA 31513
Mailing Address160 Azalea RoadBaxley, GA 31513
Phone(912) 705-3784
Organization SubpartNo
Authorized OfficialBriana AycockOwner/president · (912) 245-4270
Enumeration DateNovember 13, 2020
Last NPPES UpdateDecember 27, 20203 updates tracked since enumeration
NPPES CertifiedDecember 27, 2020
✔ NPI 1205438330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
160 AZALEA ROAD, Baxley, GA 31513
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baxley Wellness Pharmacy Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20210203002378DME · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 11D2200171

Baxley Wellness Pharmacy, Inc · Baxley, GA
Active · expires Nov 12, 2026
CLIA Number11D2200171
Laboratory TypePharmacy
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorBriana B. Aycock
Laboratory Phone(912) 245-4270
Laboratory LocationBaxley Wellness Pharmacy, Inc160 Azalea Road, Baxley, GA 31513
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
79 services77 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
60 services60 patients

Other Providers at the Same Location NPPES

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

DR. BRIANA BAXLEY AYCOCK PHARMD
Pharmacist
160 AZALEA ROAD
BAXLEY, GA 31513
Appling County (912) 245-4270

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 Baxley Wellness Pharmacy Inc.'s NPI number?

The NPI number for Baxley Wellness Pharmacy Inc. is 1205438330. It was assigned to this organization in the NPPES registry on November 13, 2020.

Where is Baxley Wellness Pharmacy Inc. located?

Baxley Wellness Pharmacy Inc. is located at 160 Azalea Road, Baxley, GA 31513. The listed phone number is (912) 705-3784.

What is Baxley Wellness Pharmacy Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Baxley Wellness Pharmacy Inc. enrolled in Medicare?

Yes. Baxley Wellness Pharmacy Inc. is registered in the Medicare PECOS enrollment system.

When is Baxley Wellness Pharmacy Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Georgia, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Baxley Wellness Pharmacy Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2200171) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baxley Wellness Pharmacy Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 44 other insurers list Baxley Wellness Pharmacy Inc. 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 Baxley Wellness Pharmacy Inc. was last updated on December 27, 2020. 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.