AWAKEN,INSPIRE,RESTORE LLC
NPI 1235929613
Family Medicine in Newnan, GA

Active since May 09, 2025CLIA 11D2329428 · Waiver
1111 HIGHWAY 34 E, NEWNAN, GA 30265(770) 809-1100 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, May 9, 2025 (2 updates tracked since 2025).

About Awaken,inspire,restore Llc NPPES

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

AWAKEN,INSPIRE,RESTORE LLC (NPI 1235929613) is a healthcare organization registered as a family medicine in Newnan, Georgia and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Tashinea Bernadin, Owner, as its authorized official.

NPPES Registry Identity

NPI1235929613
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAWAKEN,INSPIRE,RESTORE LLC
Location Address1111 HIGHWAY 34 ENewnan, GA 30265-2182
Mailing Address140 Astral CtFayetteville, GA 30214-2595 · (904) 803-2445
Organization SubpartNo
Authorized OfficialTashinea BernadinOwner · (904) 803-2445
Enumeration DateMay 9, 2025
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
NPI 1235929613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1111 HIGHWAY 34 E, Newnan, GA 30265

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 11D2329428

Awaken Inspire Restore LLC · Newnan, GA
Active · expires Aug 27, 2027
CLIA Number11D2329428
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorTashinea M. Bernadin
Laboratory Phone(770) 809-1100
Laboratory LocationAwaken Inspire Restore LLC1111 Highway 34 E, Suite 7, Newnan, GA 30265
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 Awaken,inspire,restore LLC's NPI number?

The NPI number for Awaken,inspire,restore LLC is 1235929613. It was assigned to this organization in the NPPES registry on May 9, 2025.

Where is Awaken,inspire,restore LLC located?

Awaken,inspire,restore LLC is located at 1111 Highway 34 E, Newnan, GA 30265. The listed phone number is (770) 809-1100.

What is Awaken,inspire,restore LLC's specialty?

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

Does Awaken,inspire,restore LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2329428) is associated with this NPI, valid through August 27, 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 Awaken,inspire,restore LLC was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.