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INNER VOYAGE WELLNESS CENTER
NPI 1508563651
Family Medicine - Addiction Medicine in Woodstock, GA

Active since February 09, 2023CLIA 11D2288322 · Waiver
2230 TOWNE LAKE PKWY, BLDG 900 STE 250, WOODSTOCK, GA 30189(404) 713-4280 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, May 22, 2025, Feb 9, 2023 (3 updates tracked since 2023).

About Inner Voyage Wellness Center NPPES

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

INNER VOYAGE WELLNESS CENTER (NPI 1508563651) is a healthcare organization registered as an addiction medicine in Woodstock, Georgia and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Jeff Baucom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508563651
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameINNER VOYAGE WELLNESS CENTER
Location Address2230 TOWNE LAKE PKWY, BLDG 900 STE 250Woodstock, GA 30189-5584
Mailing Address2230 Towne Lake Pkwy Ste 250Woodstock, GA 30189-5584 · (404) 713-4280
Phone(404) 713-4280
Organization SubpartNo
Authorized OfficialJeff BaucomCeo · (404) 713-4280
Enumeration DateFebruary 9, 2023
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1508563651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X
Also ListedTechnician, Other · EEGTaxonomy 2472E0500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
2230 TOWNE LAKE PKWY, Woodstock, GA 30189
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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 11D2288322

Inner Voyage Wellness Center · Canton, GA
Active · expires Aug 23, 2027
CLIA Number11D2288322
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorJames Rogan
Laboratory Phone(404) 713-4280
Laboratory LocationInner Voyage Wellness Center603 Redcoat Circle, Canton, GA 30114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. ROMUALDA S KLICIUS MD
Pediatrics
2230 TOWNE LAKE PKWY, BUILDING 300, SUITE 100
WOODSTOCK, GA 30189
Cherokee County (770) 517-1900
SLEEP CENTERS OF AMERICA, INC.
Clinic/Center (Sleep Disorder Diagnostic)
2230 TOWNE LAKE PKWY, BLDG. 100 SUITE 130
WOODSTOCK, GA 30189
Cherokee County (678) 858-5997
BRIDGEVIEW WELLNESS CENTER
Counselor (Professional)
2230 TOWNE LAKE PKWY, BLDG 200 STE 110
WOODSTOCK, GA 30189
Cherokee County (678) 403-2346
TISHA ROSS DDS
Dentist (Pediatric Dentistry)
2230 TOWNE LAKE PKWY, BLDG 1300 STE 100
WOODSTOCK, GA 30189
Cherokee County (678) 445-5444
VINCENT MICHAEL MAGLIOCCO O.D.
Optometrist
2230 TOWNE LAKE PKWY, BUILDING 700 SUITE 100
WOODSTOCK, GA 30189
Cherokee County (770) 591-3511
DR. MICHELLE A LEROY-LAWRENCE D.C.
Chiropractor (Nutrition)
2230 TOWNE LAKE PKWY, BUILDING 100 SUITE 140
WOODSTOCK, GA 30189
Cherokee County (770) 591-9153
TINGLEY FAMILY CHIROPRACTIC, LLC
Chiropractor
2230 TOWNE LAKE PKWY, BLDG. 700 SUITE 120
WOODSTOCK, GA 30189
Cherokee County (770) 517-2070
NEW WAYS PAIN MANAGEMENT
Radiology (Diagnostic Radiology)
2230 TOWNE LAKE PKWY, BLDG, NO. 900, SUITE 250 & 150
WOODSTOCK, GA 30189
Cherokee County (404) 556-9222

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 Inner Voyage Wellness Center's NPI number?

The NPI number for Inner Voyage Wellness Center is 1508563651. It was assigned to this organization in the NPPES registry on February 9, 2023.

Where is Inner Voyage Wellness Center located?

Inner Voyage Wellness Center is located at 2230 Towne Lake Pkwy Bldg 900 Ste 250, Woodstock, GA 30189. The listed phone number is (404) 713-4280.

What is Inner Voyage Wellness Center's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Inner Voyage Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2288322) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Inner Voyage Wellness Center was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.