NUMI WELLNESS AND DIABETES CENTER LLC
NPI 1518788959
Family Medicine in Statesboro, GA
About Numi Wellness And Diabetes Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NUMI WELLNESS AND DIABETES CENTER LLC (NPI 1518788959) is a healthcare organization registered as a family medicine in Statesboro, Georgia and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Jason Hollis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Numi Wellness And Diabetes Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Numi Wellness And Diabetes Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 11D2334322
Numi Wellness And Diabetes Center · Statesboro, 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 Numi Wellness And Diabetes Center LLC's NPI number?
The NPI number for Numi Wellness And Diabetes Center LLC is 1518788959. It was assigned to this organization in the NPPES registry on October 18, 2024.
Where is Numi Wellness And Diabetes Center LLC located?
Numi Wellness And Diabetes Center LLC is located at 1525 Fair Rd Ste 105A, Statesboro, GA 30458. The listed phone number is (276) 591-8383.
What is Numi Wellness And Diabetes Center LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Numi Wellness And Diabetes Center LLC enrolled in Medicare?
Yes. Numi Wellness And Diabetes Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Numi Wellness And Diabetes Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Numi Wellness And Diabetes Center LLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Numi Wellness And Diabetes Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2334322) is associated with this NPI, valid through November 18, 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 Numi Wellness And Diabetes Center LLC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Numi Wellness And Diabetes Center Llc · NPI 1518788959
Family Medicine organization in Statesboro, Georgia. Organization record, active in the CMS NPPES registry since October 18, 2024.
## Identity
- **NPI:** 1518788959 (Entity type: Organization)
- **Enumerated:** October 18, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jason Hollis, OWNER
## Practice location
- **Address:** 1525 FAIR RD STE 105A, Statesboro, GA 30458-6118
- **Phone:** (276) 591-8383 · **Fax:** (912) 259-9509
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2025
- **Other identifiers:** Medicaid 003208278C (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1518788959) · Data from the CMS NPPES public registry.