NUMI WELLNESS AND DIABETES CENTER LLC
NPI 1518788959
Family Medicine in Statesboro, GA

Q: What is Numi Wellness And Diabetes Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 18, 2024CLIA 11D2334322 · Waiver

1525 FAIR RD STE 105A, STATESBORO, GA 30458(276) 591-8383(912) 259-9509 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Nov 24, 2024 (2 updates tracked since 2024).

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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

NPI1518788959

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNUMI WELLNESS AND DIABETES CENTER LLC

Location Address1525 FAIR RD STE 105AStatesboro, GA 30458-6118

Mailing Address1525 Fair Rd Ste 105aStatesboro, GA 30458-6118

Phone(276) 591-8383

Fax(912) 259-9509

Organization SubpartNo

Authorized OfficialJason HollisOwner · (276) 591-8383

Enumeration DateOctober 18, 2024

Last NPPES UpdateMay 14, 20252 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1518788959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

1525 FAIR RD STE 105A, Statesboro, GA 30458

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Other Identifiers 1

Medicaid003208278CGA

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, GA

Active · expires Nov 18, 2027

CLIA Number11D2334322

Laboratory TypePhysician Office

Certificate Effective DateNovember 19, 2025

Certificate Expiration DateNovember 18, 2027

Laboratory DirectorKimberly G. Hollis

Laboratory Phone(912) 259-9509

Laboratory LocationNumi Wellness And Diabetes Center1525 Fair Road, Suite 105A, Statesboro, GA 30458

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

KIMBERLY HOLLIS FNP

Nurse Practitioner (Family)

1525 FAIR RD STE 105A
STATESBORO, GA 30458

Bulloch County (276) 591-0818

DR. JASON BOYD HOLLIS D.O.

Family Medicine

1525 FAIR RD STE 105A
STATESBORO, GA 30458

Bulloch County (276) 591-8383

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 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.

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 15 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.