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CAEDEL WELLNESS CENTER
NPI 1306085402
Internal Medicine in Fayetteville, GA

Active since February 12, 2009CLIA 11D2119401 · Microscopy
101 DEVANT ST STE 803, FAYETTEVILLE, GA 30214(678) 216-0342(678) 216-0348 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caedel Wellness Center NPPES

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

CAEDEL WELLNESS CENTER (NPI 1306085402) is a healthcare organization registered as an internal medicine in Fayetteville, Georgia and active in the NPI registry since February 2009. The organization holds a CLIA Microscopy certificate valid through September 26, 2026 and lists Claire K Willie, C.e.o, as its authorized official.

NPPES Registry Identity

NPI1306085402
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCAEDEL WELLNESS CENTER
Location Address101 DEVANT ST STE 803Fayetteville, GA 30214-2716
Mailing AddressPo Box 9Fayetteville, GA 30214-0009 · (678) 216-0342 · Fax (678) 216-0348
Phone(678) 216-0342
Fax(678) 216-0348
Organization SubpartNo
Authorized OfficialClaire K WillieC.e.o · (678) 216-0432
Enumeration DateFebruary 12, 2009
✔ NPI 1306085402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 039177
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
101 DEVANT ST STE 803, Fayetteville, GA 30214
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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 for Provider-Performed Microscopy Procedures (PPMP) 11D2119401

Caedel Wellness Center, LLC · Fayetteville, GA
Active · expires Sep 26, 2026
CLIA Number11D2119401
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorClaire K. Willie
Laboratory Phone(678) 216-0342
Laboratory LocationCaedel Wellness Center, LLC101 Devant Street, Suite 803, Fayetteville, GA 30214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Caedel Wellness Center's NPI number?

The NPI number for Caedel Wellness Center is 1306085402. It was assigned to this organization in the NPPES registry on February 12, 2009.

Where is Caedel Wellness Center located?

Caedel Wellness Center is located at 101 Devant St Ste 803, Fayetteville, GA 30214. The listed phone number is (678) 216-0342.

What is Caedel Wellness Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Caedel Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2119401) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Caedel Wellness Center was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.