APPLING TOTAL WELLNESS, LLC
NPI 1346962248
Family Medicine in Baxley, GA

Active since September 16, 2022CLIA 11D2275760 · Waiver
1745 CITY CIRCLE RD BLDG B, BAXLEY, GA 31513(912) 705-1939 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Appling Total Wellness, Llc NPPES

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

APPLING TOTAL WELLNESS, LLC (NPI 1346962248) is a healthcare organization registered as a family medicine in Baxley, Georgia and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Amanda Nicole Deen, Fnp-bc, as its authorized official.

NPPES Registry Identity

NPI1346962248
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAPPLING TOTAL WELLNESS, LLC
Location Address1745 CITY CIRCLE RD BLDG BBaxley, GA 31513-7059
Mailing Address1745 City Circle Rd Bldg BBaxley, GA 31513-7059
Organization SubpartNo
Authorized OfficialAmanda Nicole DeenFnp-bc · (912) 387-5557
Enumeration DateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
✔ NPI 1346962248 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.
1745 CITY CIRCLE RD BLDG B, Baxley, GA 31513

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Appling Total Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Appling Total Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1275864068
1745 CITY CIRCLE RD BLDG B
Baxley, GA 31513
(912) 705-6653
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437643517
162 JEKYLL RD
Baxley, GA 31513
(478) 401-0477
✔ PECOS✔ Accepts Medicare1.5 mi
Nephrology
NPI 1104833698
455 S MAIN ST STE 201
Hinesville, GA 31313
(912) 877-6822
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1184337982
SC HOUSE CALLS, INC. 111 DOCTORS CIR.
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare177 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 11D2275760

Appling Total Wellness LLC · Baxley, GA
Active · expires Jan 26, 2027
CLIA Number11D2275760
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorNizar Eskandar
Laboratory Phone(912) 705-6653
Laboratory LocationAppling Total Wellness LLC1745 City Circle Road, Bldg B, Baxley, GA 31513
CLIA data matches this NPI record on: Address Name
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 Appling Total Wellness, LLC's NPI number?

The NPI number for Appling Total Wellness, LLC is 1346962248. It was assigned to this organization in the NPPES registry on September 16, 2022.

Where is Appling Total Wellness, LLC located?

Appling Total Wellness, LLC is located at 1745 City Circle Rd Bldg B, Baxley, GA 31513. The listed phone number is (912) 705-1939.

What is Appling Total Wellness, LLC's specialty?

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

Is Appling Total Wellness, LLC enrolled in Medicare?

Yes. Appling Total Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Appling Total Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Appling Total Wellness, LLC. 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. The largest specialties are Nurse Practitioner (3) and Nephrology (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Appling Total Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2275760) is associated with this NPI, valid through January 26, 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 Appling Total Wellness, LLC was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.