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ACACIA WELLNESS CENTER
NPI 1437504909
Family Medicine in Nampa, ID

Active since May 03, 2016CLIA 13D2058336 · Waiver
217 W. GEORGIA AVE. STE 120, NAMPA, ID 83686(208) 498-1760 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Acacia Wellness Center NPPES

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

ACACIA WELLNESS CENTER (NPI 1437504909) is a healthcare organization registered as a family medicine in Nampa, Idaho and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists Deo Marie Peppersack, Owner, as its authorized official.

NPPES Registry Identity

NPI1437504909
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name5 PEPPERS INC
Location Address217 W. GEORGIA AVE. STE 120Nampa, ID 83686
Mailing Address217 W. Georgia Ave. Ste 120Nampa, ID 83686 · (208) 498-1760
Phone(208) 498-1760
Organization SubpartNo
Authorized OfficialDeo Marie PeppersackOwner · (208) 498-1760
Enumeration DateMay 3, 2016
✔ NPI 1437504909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

217 W. GEORGIA AVE. STE 120, Nampa, ID 83686
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Other Names 1

Doing Business AsAcacia Wellness Center

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

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 13D2058336

Summit Psychiatry & Family Wellness · Nampa, ID
Active · expires May 5, 2027
CLIA Number13D2058336
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorDeo M. Peppersack
Laboratory Phone(208) 498-1760
Laboratory LocationSummit Psychiatry & Family Wellness217 W Georgia Ave #120, Nampa, ID 83686
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is 5 PEPPERS INC's NPI number?

The NPI number assigned to this healthcare provider is 1437504909, enumerated as an "organization" on May 03, 2016.

Where is the provider located?

The provider is located at 217 W. GEORGIA AVE. STE 120 NAMPA, ID 83686 and the phone number is (208) 498-1760.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.