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: November 01, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Temple Medhealth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Temple Medhealth, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1447790530
3311 HIGHWAY 5 STE C
Douglasville, GA 30135
(678) 383-6944
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1871119040
1810 MULKEY RD STE 200
Austell, GA 30106
(678) 402-6970
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1467413013
3212 RAINBOW DR
Rainbow City, AL 35906
(256) 442-7683
✔ PECOS✔ Accepts Medicare66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Temple Medhealth enrolled in Medicare?

Yes. Temple Medhealth is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Temple Medhealth?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Temple Medhealth, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.