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WELLNESS BAY LLC
NPI 1407676737
Internal Medicine in Georgetown, TX

Active since October 11, 2024
4887 WILLIAMS DR STE 107, GEORGETOWN, TX 78633(512) 588-7008(888) 440-2690 Get Directions Write a Review

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

Record update history: Aug 25, 2026, Apr 2, 2025, Oct 11, 2024 (3 updates tracked since 2024).

About Wellness Bay Llc NPPES

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

WELLNESS BAY LLC (NPI 1407676737) is a healthcare organization registered as an internal medicine in Georgetown, Texas and active in the NPI registry since October 2024. The organization maintains a secondary practice location in Georgetown and lists Mohammad Al Darawsha, Owner, as its authorized official.

NPPES Registry Identity

NPI1407676737
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLNESS BAY LLC
Location Address4887 WILLIAMS DR STE 107Georgetown, TX 78633-2440
Mailing Address4887 Williams Dr Ste 107Georgetown, TX 78633-2440 · (512) 588-7008 · Fax (888) 440-2690
Phone(512) 588-7008
Fax(888) 440-2690
Organization SubpartNo
Authorized OfficialMohammad Al DarawshaOwner · (512) 588-7008
Enumeration DateOctober 11, 2024
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1407676737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4887 WILLIAMS DR STE 107, Georgetown, TX 78633
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Secondary Practice Location 1

Location 14875 Williams DrGeorgetown, TX 78633-2429 · Phone (512) 588-7008 · Fax (888) 440-2690

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc..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)

Wellness Bay 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 Wellness Bay LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mohammad Al Darawsha, MD
Internal Medicine
NPI 1417443243
4887 WILLIAMS DR STE 107
Georgetown, TX 78633
(512) 588-7008
✔ 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 45D2313267

Wellness Bay LLC · Georgetown, TX
Expired · Oct 27, 2026
CLIA Number45D2313267
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorMohammad Al Darawsha MD
Laboratory Phone(424) 302-8720
Laboratory LocationWellness Bay LLC4887-1 Williams Drive, Ste 107, Georgetown, TX 78633
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 Wellness Bay LLC's NPI number?

The NPI number for Wellness Bay LLC is 1407676737. It was assigned to this organization in the NPPES registry on October 11, 2024.

Where is Wellness Bay LLC located?

Wellness Bay LLC is located at 4887 Williams Dr Ste 107, Georgetown, TX 78633. The listed phone number is (512) 588-7008.

What is Wellness Bay LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wellness Bay LLC enrolled in Medicare?

Yes. Wellness Bay LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Bay LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wellness Bay 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.

What insurance does Wellness Bay LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Wellness Bay LLC 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 Wellness Bay LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.