TEMPLE MEDHEALTH
NPI 1346893799
Nurse Practitioner in Villa Rica, GA

Active since July 24, 2019CLIA 11D2186880 · Waiver
503 MAIN ST, VILLA RICA, GA 30180(770) 462-1170 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Temple Medhealth NPPES

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

TEMPLE MEDHEALTH (NPI 1346893799) is a healthcare organization registered as a nurse practitioner in Villa Rica, Georgia and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Branderly Maliwa, Owner, as its authorized official.

NPPES Registry Identity

NPI1346893799
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTEMPLE MEDHEALTH
Location Address503 MAIN STVilla Rica, GA 30180-1931
Mailing Address503 Main StVilla Rica, GA 30180-1931 · (770) 462-1170
Organization SubpartNo
Authorized OfficialBranderly MaliwaOwner · (765) 326-0148
Enumeration DateJuly 24, 2019
NPI 1346893799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
503 MAIN ST, Villa Rica, GA 30180

Other Identifiers 1

Medicaid1447790530GA

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 11D2186880

Temple Med Health · Villa Rica, GA
Active · expires Jun 22, 2028
CLIA Number11D2186880
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorBranderly Maliwa
Laboratory Phone(770) 462-1170
Laboratory LocationTemple Med Health503 Main Street, Villa Rica, GA 30180
CLIA data matches this NPI record on: Address 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
503 MAIN ST
VILLA RICA, GA 30180

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 Temple Medhealth's NPI number?

The NPI number for Temple Medhealth is 1346893799. It was assigned to this organization in the NPPES registry on July 24, 2019.

Where is Temple Medhealth located?

Temple Medhealth is located at 503 Main St, Villa Rica, GA 30180. The listed phone number is (770) 462-1170.

What is Temple Medhealth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Temple Medhealth hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2186880) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Temple Medhealth accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Temple Medhealth 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 Temple Medhealth was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.