TEMPLE WELLNESS, LLC
NPI 1235940487
Clinic/Center - Primary Care in Chatsworth, GA

Active since January 16, 2025CLIA 11D2322232 · Waiver
1422 GREEN RD STE M, CHATSWORTH, GA 30705(706) 960-2717 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2025, May 8, 2025, Feb 20, 2025 (3 updates tracked since 2025).

About Temple Wellness, Llc NPPES

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

TEMPLE WELLNESS, LLC (NPI 1235940487), doing business as Temple Wellness, is a healthcare organization registered as a primary care in Chatsworth, Georgia and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Kasie Barrett, Owner, as its authorized official.

NPPES Registry Identity

NPI1235940487
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTEMPLE WELLNESS, LLC
Location Address1422 GREEN RD STE MChatsworth, GA 30705-6999
Mailing Address1422 Green Rd Ste MChatsworth, GA 30705-6999
Organization SubpartNo
Authorized OfficialKasie BarrettOwner · (706) 960-2717
Enumeration DateJanuary 16, 2025
Last NPPES UpdateJune 13, 20253 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1235940487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1422 GREEN RD STE M, Chatsworth, GA 30705

Other Names 1

Doing Business AsTemple Wellness

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Temple Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Temple Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1528001765
1422 GREEN RD STE M&N
Chatsworth, GA 30705
(706) 260-8006
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871473298
426 S WALL ST
Calhoun, GA 30701
(706) 383-6256
✔ PECOS✔ Accepts Medicare22 mi

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 11D2322232

Temple Care & Wellness · Chatsworth, GA
Active · expires Apr 16, 2027
CLIA Number11D2322232
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorKasie D. Barrett
Laboratory Phone(706) 960-2717
Laboratory LocationTemple Care & Wellness1422 Green Road, Suite M & N, Chatsworth, GA 30705
CLIA data matches this NPI record on: Address 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 Temple Wellness, LLC's NPI number?

The NPI number for Temple Wellness, LLC is 1235940487. It was assigned to this organization in the NPPES registry on January 16, 2025. The provider is doing business as Temple Wellness.

Where is Temple Wellness, LLC located?

Temple Wellness, LLC is located at 1422 Green Rd Ste M, Chatsworth, GA 30705. The listed phone number is (706) 960-2717.

What is Temple Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Temple Wellness, LLC enrolled in Medicare?

Yes. Temple Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Temple Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Temple 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Temple Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2322232) is associated with this NPI, valid through April 16, 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 Temple Wellness, LLC was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.