1. Home
  2. Directory
  3. Georgia
  4. Valdosta
  5. Nurse Practitioner
  6. NPI Profile

VALDOSTA HEALTH & WELLNESS CLINIC INC
NPI 1366840258
Nurse Practitioner - Adult Health in Valdosta, GA

Active since December 09, 2014CLIA 11D2089558 · Waiver
3328 BEMISS RD, VALDOSTA, GA 31605(229) 469-6137(229) 469-6139 Get Directions Write a Review

NPPES record last updated: December 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Valdosta Health & Wellness Clinic Inc NPPES

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

VALDOSTA HEALTH & WELLNESS CLINIC INC (NPI 1366840258) is a healthcare organization registered as an adult health in Valdosta, Georgia and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Tracey Q Livingston, Owner, as its authorized official.

NPPES Registry Identity

NPI1366840258
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameVALDOSTA HEALTH & WELLNESS CLINIC INC
Location Address3328 BEMISS RDValdosta, GA 31605-7014
Mailing Address103 Good Hope CirNaylor, GA 31641-3657
Phone(229) 469-6137
Fax(229) 469-6139
Organization SubpartNo
Authorized OfficialTracey Q LivingstonOwner · (229) 469-6137
Enumeration DateDecember 9, 2014
✔ NPI 1366840258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
3328 BEMISS RD, Valdosta, GA 31605
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

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 11D2089558

Valdosta Health & Wellness Clinic · Valdosta, GA
Active · expires Jan 4, 2027
CLIA Number11D2089558
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorTracey Q. Livingston
Laboratory Phone(229) 469-6137
Laboratory LocationValdosta Health & Wellness Clinic3328 Bemiss Rd, Valdosta, GA 31605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

HALLEIGH LANE LOVEIN NP
Family Medicine
3328 BEMISS RD
VALDOSTA, GA 31605
Lowndes County (229) 469-6137
MRS. MICHELLE JENNIFER SUTHERLAND PT, PCS
Physical Therapist
3328 BEMISS RD
VALDOSTA, GA 31605
Lowndes County (229) 244-1201
RITA DRAKE COOK APRN
Nurse Practitioner (Women's Health)
3328 BEMISS RD
VALDOSTA, GA 31605
Lowndes County (229) 469-6137
MRS. TRACEY Q LIVINGSTON ANP-BC
Nurse Practitioner (Adult Health)
3328 BEMISS RD
VALDASTA, GA 31605
Lowndes County (229) 469-6137
AMANDA MARTIN MOORE D.P.T., OT
Physical Therapist
3328 BEMISS RD
VALDOSTA, GA 31605
Lowndes County (229) 244-1201

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 Valdosta Health & Wellness Clinic Inc's NPI number?

The NPI number for Valdosta Health & Wellness Clinic Inc is 1366840258. It was assigned to this organization in the NPPES registry on December 9, 2014.

Where is Valdosta Health & Wellness Clinic Inc located?

Valdosta Health & Wellness Clinic Inc is located at 3328 Bemiss Rd, Valdosta, GA 31605. The listed phone number is (229) 469-6137.

What is Valdosta Health & Wellness Clinic Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Valdosta Health & Wellness Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2089558) is associated with this NPI, valid through January 4, 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 Valdosta Health & Wellness Clinic Inc was last updated on December 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.