GOOD SAMARITAN HEALTH & WELLNESS CENTER INC.
NPI 1407174675
Clinic/Center - Federally Qualified Health Center (FQHC) in Jasper, GA

Q: What is Good Samaritan Health & Wellness Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 12, 2010CLIA 11D0996850 · Waiver

175 SAMARITAN DR, JASPER, GA 30143(706) 253-4673(706) 253-4675 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Nov 3, 2025, Oct 19, 2020 (3 updates tracked since 2020).

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About Good Samaritan Health & Wellness Center Inc. NPPES

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

GOOD SAMARITAN HEALTH & WELLNESS CENTER INC. (NPI 1407174675) is a healthcare organization registered as a federally qualified health center (fqhc) in Jasper, Georgia and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Tammi W Sorrells, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407174675

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameGOOD SAMARITAN HEALTH & WELLNESS CENTER INC.

Location Address175 SAMARITAN DRJasper, GA 30143-1964

Mailing Address175 Samaritan DrJasper, GA 30143-1964 · (706) 253-4633 · Fax (706) 253-4631

Phone(706) 253-4673

Fax(706) 253-4675

Organization SubpartNo

Authorized OfficialTammi W SorrellsCeo · (770) 815-0986

Enumeration DateMay 12, 2010

Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1407174675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/CenterTaxonomy 261Q00000X

175 SAMARITAN DR, Jasper, GA 30143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 11D0996850

Good Samaritan Health And Wellness Center · Jasper, GA

Active · expires Feb 28, 2028

CLIA Number11D0996850

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateFebruary 28, 2026

Certificate Expiration DateFebruary 28, 2028

Laboratory DirectorTammi W. Sorrells

Laboratory Phone(706) 253-4673

Laboratory LocationGood Samaritan Health And Wellness Center175 Samaritan Drive, Jasper, GA 30143

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

JULIA PRAWL CEGLENSKI MD

Family Medicine