ANGELIC CLINICAL SERVICES, LLC
NPI 1497299440
Clinic/Center - Primary Care in Grayson, GA
About Angelic Clinical Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELIC CLINICAL SERVICES, LLC (NPI 1497299440) is a healthcare organization registered as a primary care in Grayson, Georgia and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Joy Stanetrice Wilson, Family Nurse Practitioner/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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 11D2138442
Angelic Clinical Services, LLC · Loganville, GAFrequently 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 Angelic Clinical Services, LLC's NPI number?
The NPI number for Angelic Clinical Services, LLC is 1497299440. It was assigned to this organization in the NPPES registry on December 9, 2016.
Where is Angelic Clinical Services, LLC located?
Angelic Clinical Services, LLC is located at 1500 Juneau Way, Grayson, GA 30017. The listed phone number is (770) 568-2777.
What is Angelic Clinical Services, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Angelic Clinical Services, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2138442) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Angelic Clinical Services, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Angelic Clinical Services, 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 Angelic Clinical Services, LLC was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Angelic Clinical Services, Llc · NPI 1497299440
Primary Care organization in Grayson, Georgia. Organization record, active in the CMS NPPES registry since December 9, 2016.
## Identity
- **NPI:** 1497299440 (Entity type: Organization)
- **Enumerated:** December 9, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Joy Wilson, FAMILY NURSE PRACTITIONER/OWNER
## Practice location
- **Address:** 1500 JUNEAU WAY, Grayson, GA 30017-2962
- **Phone:** (770) 568-2777 · **Fax:** (678) 819-0877
## Record status
- **NPPES last updated:** May 10, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497299440) · Data from the CMS NPPES public registry.