PULASKI HEALTH & WELLNESS
NPI 1316523707
Clinic/Center - Primary Care in Pulaski, GA

Active since March 24, 2021CLIA 11D2318591 · Waiver
107 E RAILROAD ST, PULASKI, GA 30451(912) 685-1802(912) 685-1803 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Mar 24, 2021 (2 updates tracked since 2021).

About Pulaski Health & Wellness NPPES

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

PULASKI HEALTH & WELLNESS (NPI 1316523707) is a healthcare organization registered as a primary care in Pulaski, Georgia and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Willuck William Bennett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316523707
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHOSPITAL AUTHORITY OF CANDLER COUNTY
Location Address107 E RAILROAD STPulaski, GA 30451
Mailing AddressPo Box 597Metter, GA 30439-0597 · (912) 685-5715 · Fax (912) 685-3461
Fax(912) 685-1803
Organization SubpartYes
Authorized OfficialWilluck William BennettCfo · (912) 685-1769
Enumeration DateMarch 24, 2021
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1316523707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
107 E RAILROAD ST, Pulaski, GA 30451

Other Names 1

Doing Business AsPulaski Health & Wellness

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 11D2318591

Hospital Authority Of Candler County Dba Pulaski Health & Wellness · Pulaski, GA
Active · expires Feb 12, 2027
CLIA Number11D2318591
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorDr. Maria F. Acosta
Laboratory Phone(912) 685-1802
Laboratory LocationHospital Authority Of Candler County Dba Pulaski Health & Wellness107 E Railroad Street, Pulaski, GA 30451
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 Hospital Authority Of Candler County's NPI number?

The NPI number for Hospital Authority Of Candler County is 1316523707. It was assigned to this organization in the NPPES registry on March 24, 2021. The provider is doing business as Pulaski Health & Wellness.

Where is Hospital Authority Of Candler County located?

Hospital Authority Of Candler County is located at 107 E Railroad St, Pulaski, GA 30451. The listed phone number is (912) 685-1802.

What is Hospital Authority Of Candler County's specialty?

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

Does Hospital Authority Of Candler County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2318591) is associated with this NPI, valid through February 12, 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 Hospital Authority Of Candler County was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.