EQUITY ADVANCED NURSING AND WELLNESS SERVICES LLC
NPI 1356925127
Nurse Practitioner - Family in Social Circle, GA

Active since May 07, 2021CLIA 11D2226419 · Waiver
761 N CHEROKEE ROAD, STE A, SOCIAL CIRCLE, GA 30025(678) 773-2314(470) 441-7375 Get Directions Write a Review

NPPES record last updated: April 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2023, Sep 14, 2022, May 7, 2021 (3 updates tracked since 2021).

About Equity Advanced Nursing And Wellness Services Llc NPPES

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

EQUITY ADVANCED NURSING AND WELLNESS SERVICES LLC (NPI 1356925127) is a healthcare organization registered as a family in Social Circle, Georgia and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Marilyn Whitening, Ceo/aprn, as its authorized official.

NPPES Registry Identity

NPI1356925127
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEQUITY ADVANCED NURSING AND WELLNESS SERVICES LLC
Location Address761 N CHEROKEE ROAD, STE ASocial Circle, GA 30025
Mailing Address761 N Cherokee Road, Ste ASocial Circle, GA 30025 · (678) 773-2314 · Fax (470) 441-7375
Fax(470) 441-7375
Organization SubpartNo
Authorized OfficialMarilyn WhiteningCeo/aprn · (678) 773-2314
Enumeration DateMay 7, 2021
Last NPPES UpdateApril 1, 20233 updates tracked since enumeration
NPPES CertifiedApril 1, 2023
✔ NPI 1356925127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
761 N CHEROKEE ROAD, Social Circle, GA 30025

Group Practice 2

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

Equity Advanced Nursing And Wellness Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Equity Advanced Nursing And Wellness Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1730448564
761 N CHEROKEE RD STE A
Social Circle, GA 30025
(770) 464-5022
✔ PECOS✔ Accepts MedicareSame address

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 11D2226419

Equity Advanced Nursing And Wellness Services, LLC · Social Circle, GA
Active · expires May 31, 2027
CLIA Number11D2226419
Laboratory TypePractitioner Other
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorMarilyn E. Whitening
Laboratory Phone(770) 910-0441
Laboratory LocationEquity Advanced Nursing And Wellness Services, LLC961 North Cherokee Road, Suite A, Social Circle, GA 30025
CLIA data matches this NPI record on: 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 Equity Advanced Nursing And Wellness Services LLC's NPI number?

The NPI number for Equity Advanced Nursing And Wellness Services LLC is 1356925127. It was assigned to this organization in the NPPES registry on May 7, 2021.

Where is Equity Advanced Nursing And Wellness Services LLC located?

Equity Advanced Nursing And Wellness Services LLC is located at 761 N Cherokee Road Ste A, Social Circle, GA 30025. The listed phone number is (678) 773-2314.

What is Equity Advanced Nursing And Wellness Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Equity Advanced Nursing And Wellness Services LLC enrolled in Medicare?

Yes. Equity Advanced Nursing And Wellness Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Equity Advanced Nursing And Wellness Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Equity Advanced Nursing And Wellness Services 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Equity Advanced Nursing And Wellness Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2226419) is associated with this NPI, valid through May 31, 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 Equity Advanced Nursing And Wellness Services LLC was last updated on April 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.