VALDOSTA HEALTH & WELLNESS CLINIC INC
NPI 1366840258
Nurse Practitioner - Adult Health in Valdosta, GA
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 lists Tracey Q Livingston, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Valdosta Health & Wellness Clinic Inc 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 Valdosta Health & Wellness Clinic Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Valdosta Health & Wellness Clinic Inc enrolled in Medicare?
Yes. Valdosta Health & Wellness Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valdosta Health & Wellness Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Valdosta Health & Wellness Clinic Inc. 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.
What insurance does Valdosta Health & Wellness Clinic Inc accept?
Health plans from Alliant Health Plans, Inc. list Valdosta Health & Wellness Clinic Inc 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 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.
# Valdosta Health & Wellness Clinic Inc · NPI 1366840258
Adult Health organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since December 9, 2014.
## Identity
- **NPI:** 1366840258 (Entity type: Organization)
- **Enumerated:** December 9, 2014
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Tracey Livingston, OWNER
## Practice location
- **Address:** 3328 BEMISS RD, Valdosta, GA 31605-7014
- **Phone:** (229) 469-6137 · **Fax:** (229) 469-6139
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1366840258) · Data from the CMS NPPES public registry.