1. Home
  2. Directory
  3. Georgia
  4. Vidalia
  5. General Practice
  6. NPI Profile

RESTORE WELLNESS AND AESTHETICS
NPI 1356108906
General Practice in Vidalia, GA

Active since February 29, 2024
1811 MANNING DR, VIDALIA, GA 30474(912) 733-4555(912) 575-6927 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Restore Wellness And Aesthetics NPPES

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

RESTORE WELLNESS AND AESTHETICS (NPI 1356108906) is a healthcare organization registered as a general practice in Vidalia, Georgia and active in the NPI registry since February 2024. The organization lists Cynthia Holton, Owner, as its authorized official.

NPPES Registry Identity

NPI1356108906
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameRESTORE WELLNESS AND AESTHETICS
Location Address1811 MANNING DRVidalia, GA 30474-8921
Mailing Address1811 Manning DrVidalia, GA 30474-8921 · (912) 733-4555 · Fax (912) 575-6927
Phone(912) 733-4555
Fax(912) 575-6927
Organization SubpartNo
Authorized OfficialCynthia HoltonOwner · (912) 294-6712
Enumeration DateFebruary 29, 2024
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1356108906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1811 MANNING DR, Vidalia, GA 30474
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAVI J PATEL MD
General Practice
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 537-7476
SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL
Internal Medicine (Nephrology)
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 535-2554
DR. ROBERT BICKNELL CLARK JR. M.D.,F.A.C.S.
Surgery
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 537-6344
VIDALIA FAMILY HEALTH CLINIC LLC
Specialist
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 537-7674
CYNTHIA KAYE HOLTON NP-C
Nurse Practitioner (Adult Health)
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 733-4555

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 Restore Wellness And Aesthetics's NPI number?

The NPI number for Restore Wellness And Aesthetics is 1356108906. It was assigned to this organization in the NPPES registry on February 29, 2024.

Where is Restore Wellness And Aesthetics located?

Restore Wellness And Aesthetics is located at 1811 Manning Dr, Vidalia, GA 30474. The listed phone number is (912) 733-4555.

What is Restore Wellness And Aesthetics's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Restore Wellness And Aesthetics was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.