WELLNESS LIFE CENTER, LLC
NPI 1255815981
Family Medicine in Cairo, GA

Active since September 19, 2018CLIA 11D2160172 · Waiver
1842 US HIGHWAY 84 W, CAIRO, GA 39827(229) 377-2002(229) 377-0930 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Aug 25, 2022, Sep 19, 2018 (3 updates tracked since 2018).

About Wellness Life Center, Llc NPPES

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

WELLNESS LIFE CENTER, LLC (NPI 1255815981) is a healthcare organization registered as a family medicine in Cairo, Georgia and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Laura M Odum, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1255815981
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLNESS LIFE CENTER LLC
Location Address1842 US HIGHWAY 84 WCairo, GA 39827-4224
Mailing Address1842 Us Highway 84 WCairo, GA 39827-4224 · (229) 397-5433 · Fax (229) 377-0930
Fax(229) 377-0930
Organization SubpartNo
Authorized OfficialLaura M OdumPractice Manager · (229) 397-5433
Enumeration DateSeptember 19, 2018
Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1255815981 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.
1842 US HIGHWAY 84 W, Cairo, GA 39827

Other Names 1

Doing Business AsWellness Life Center, Llc

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

Accepted Insurance

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 11D2160172

Wellness Life Center · Cairo, GA
Active · expires Jan 6, 2027
CLIA Number11D2160172
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorKendra T. Lynch
Laboratory Phone(229) 377-2002
Laboratory LocationWellness Life Center1842 U S Highway 84 West, Cairo, GA 39827
CLIA data matches this NPI record on: Name Phone
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.

Family Medicine
1842 US HIGHWAY 84 W
CAIRO, GA 39827

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 Wellness Life Center LLC's NPI number?

The NPI number for Wellness Life Center LLC is 1255815981. It was assigned to this organization in the NPPES registry on September 19, 2018. The provider is doing business as Wellness Life Center, LLC.

Where is Wellness Life Center LLC located?

Wellness Life Center LLC is located at 1842 Us Highway 84 W, Cairo, GA 39827. The listed phone number is (229) 377-2002.

What is Wellness Life Center LLC's specialty?

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

Does Wellness Life Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2160172) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellness Life Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wellness Life Center LLC 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 Wellness Life Center LLC was last updated on October 11, 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.