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 lists Joy Stanetrice Wilson, Family Nurse Practitioner/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Angelic Clinical Services, 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 Angelic Clinical Services, LLC, 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 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.
Is Angelic Clinical Services, LLC enrolled in Medicare?
Yes. Angelic Clinical Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Angelic Clinical Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Angelic Clinical Services, 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 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
## 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:** May 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1497299440) · Data from the CMS NPPES public registry.