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GOOD LANDING WELLNESS CENTER
NPI 1255085130
Clinic/Center in Dacula, GA

Active since February 09, 2022CLIA 11D2276419 · Waiver
2541 SECOND AVENUE, DACULA, GA 30019(770) 450-6120 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2023, Sep 16, 2022, Feb 9, 2022 (3 updates tracked since 2022).

About Good Landing Wellness Center NPPES

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

GOOD LANDING WELLNESS CENTER (NPI 1255085130) is a healthcare organization registered as a clinic/center in Dacula, Georgia and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Charlie Campbell, Coo, as its authorized official.

NPPES Registry Identity

NPI1255085130
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGOOD LANDING WELLNESS CENTER
Location Address2541 SECOND AVENUEDacula, GA 30019-3001
Mailing Address256 Mcmillan RdDacula, GA 30019-2337 · (770) 353-9660
Phone(770) 450-6120
Organization SubpartNo
Authorized OfficialCharlie CampbellCoo · (770) 353-9660
Enumeration DateFebruary 9, 2022
Last NPPES UpdateFebruary 8, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1255085130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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).
Also ListedFamily MedicineTaxonomy 207Q00000X
2541 SECOND AVENUE, Dacula, GA 30019
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 11D2276419

Good Landing Wellness Center, Inc · Dacula, GA
Active · expires Feb 7, 2027
CLIA Number11D2276419
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorRobert Lewis III
Laboratory Phone(770) 450-6120
Laboratory LocationGood Landing Wellness Center, Inc2541 Second Avenue, Dacula, GA 30019
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 Good Landing Wellness Center's NPI number?

The NPI number for Good Landing Wellness Center is 1255085130. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Good Landing Wellness Center located?

Good Landing Wellness Center is located at 2541 Second Avenue, Dacula, GA 30019. The listed phone number is (770) 450-6120.

What is Good Landing Wellness Center's specialty?

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

Does Good Landing Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2276419) is associated with this NPI, valid through February 7, 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 Good Landing Wellness Center was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.