LIVEWELL CLINICS
NPI 1245006311
Clinic/Center - Multi-Specialty in Winston Salem, NC

Active since November 30, 2023CLIA 34D2011150 · Waiver
MEDICAL CENTER BOULEVARD, GROUND FLOOR, MEADS HALL, WINSTON SALEM, NC 27106(336) 716-2255 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Livewell Clinics NPPES

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

LIVEWELL CLINICS (NPI 1245006311) is a healthcare organization registered as a multi-specialty in Winston Salem, North Carolina and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through April 18, 2027, maintains 3 additional practice locations, and lists Russell Mars Howerton, Sr Vp Network Phys & Hscmo, as its authorized official.

NPPES Registry Identity

NPI1245006311
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameWAKE FOREST HEALTH NETWORK LLC
Location AddressMEDICAL CENTER BOULEVARD, GROUND FLOOR, MEADS HALLWinston Salem, NC 27106
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-1331
Organization SubpartYes
Authorized OfficialRussell Mars HowertonSr Vp Network Phys & Hscmo · (336) 716-1331
Enumeration DateNovember 30, 2023
Last NPPES UpdateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
NPI 1245006311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
MEDICAL CENTER BOULEVARD, Winston Salem, NC 27106

Other Names 1

Doing Business AsLivewell Clinics

Secondary Practice Locations 3

Location 11370 W D StNorth Wilkesboro, NC 28659-3506 · Phone (336) 716-2255
Location 2575 N Patterson Ave Ste 148Winston Salem, NC 27101-4177 · Phone (336) 716-2255
Location 3306 Westwood Ave Ste 401High Point, NC 27262-4342 · Phone (336) 716-2255

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 34D2011150

Wake Forest Health Network Urgent Care Of West Park · North Wilkesboro, NC
Active · expires Apr 18, 2027
CLIA Number34D2011150
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorJoseph T. Perry
Laboratory Phone(336) 903-6840
Laboratory LocationWake Forest Health Network Urgent Care Of West Park1900 West Park Drive, Suite B, North Wilkesboro, NC 28659
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Anesthetist, Certified Registered
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27106

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 Wake Forest Health Network LLC's NPI number?

The NPI number for Wake Forest Health Network LLC is 1245006311. It was assigned to this organization in the NPPES registry on November 30, 2023. The provider is doing business as Livewell Clinics.

Where is Wake Forest Health Network LLC located?

Wake Forest Health Network LLC is located at Medical Center Boulevard Ground Floor, Meads Hall, Winston Salem, NC 27106. The listed phone number is (336) 716-2255.

What is Wake Forest Health Network LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Wake Forest Health Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2011150) is associated with this NPI, valid through April 18, 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 Wake Forest Health Network LLC was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.