FAMILY HEALTH & WELLNESS GROUP LLC
NPI 1578329645
Nurse Practitioner - Adult Health in Tyrone, GA
About Family Health & Wellness Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY HEALTH & WELLNESS GROUP LLC (NPI 1578329645) is a healthcare organization registered as an adult health in Tyrone, Georgia and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Mariama Diallo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 11D2313003
Family Health & Wellness Group · College Park, 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 Family Health & Wellness Group LLC's NPI number?
The NPI number for Family Health & Wellness Group LLC is 1578329645. It was assigned to this organization in the NPPES registry on February 26, 2024.
Where is Family Health & Wellness Group LLC located?
Family Health & Wellness Group LLC is located at 245 Park Haven Ln, Tyrone, GA 30290. The listed phone number is (678) 541-1187.
What is Family Health & Wellness Group LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Does Family Health & Wellness Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2313003) is associated with this NPI, valid through October 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Family Health & Wellness Group LLC was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Family Health & Wellness Group Llc · NPI 1578329645
Adult Health organization in Tyrone, Georgia. Organization record, active in the CMS NPPES registry since February 26, 2024.
## Identity
- **NPI:** 1578329645 (Entity type: Organization)
- **Enumerated:** February 26, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Mariama Diallo, OWNER
## Practice location
- **Address:** 245 PARK HAVEN LN, Tyrone, GA 30290-1719
- **Phone:** (678) 541-1187
## Record status
- **NPPES last updated:** March 27, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1578329645) · Data from the CMS NPPES public registry.