1. Home
  2. Directory
  3. Georgia
  4. Statesboro
  5. Family Medicine
  6. NPI Profile

THRIVE HEALTH AND WELLNESS LLC
NPI 1629704002
Family Medicine in Statesboro, GA

Active since July 27, 2022CLIA 11D2272022 · Waiver
421 PAGE PLACE RD, STATESBORO, GA 30458(912) 259-9619(912) 259-9618 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, Oct 8, 2025, Sep 8, 2023 and 5 more (8 updates tracked since 2022).

About Thrive Health And Wellness Llc NPPES

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

THRIVE HEALTH AND WELLNESS LLC (NPI 1629704002) is a healthcare organization registered as a family medicine in Statesboro, Georgia and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Erica B Lanier, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1629704002
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHRIVE HEALTH AND WELLNESS LLC
Location Address421 PAGE PLACE RDStatesboro, GA 30458-9050
Mailing Address421 Page Place RdStatesboro, GA 30458-9050 · (912) 259-9619 · Fax (912) 259-9618
Phone(912) 259-9619
Fax(912) 259-9618
Organization SubpartNo
Authorized OfficialErica B LanierAuthorized Official · (912) 259-9619
Enumeration DateJuly 27, 2022
Last NPPES UpdateAugust 25, 20268 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1629704002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
421 PAGE PLACE RD, Statesboro, GA 30458
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thrive Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Thrive Health And Wellness LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Krystal Fail
Nurse Practitioner
NPI 1073185153
421 PAGE PLACE RD
Statesboro, GA 30458
(912) 259-9619
✔ PECOSSame address
Erica Lanier, FNP
Nurse Practitioner
NPI 1588185904
421 PAGE PLACE RD
Statesboro, GA 30458
(912) 259-9619
✔ PECOSSame address
Traci Parillo, FNP-C
Nurse Practitioner
NPI 1457968307
421 PAGE PLACE ROAD
Statesboro, GA 30458
(912) 259-9619
✔ PECOSSame address

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 11D2272022

Thrive Health And Wellness · Statesboro, GA
Active · expires Nov 13, 2026
CLIA Number11D2272022
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorErica Lanier
Laboratory Phone(912) 536-7618
Laboratory LocationThrive Health And Wellness421 Page Place Rd, Statesboro, GA 30458
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Thrive Health And Wellness LLC's NPI number?

The NPI number for Thrive Health And Wellness LLC is 1629704002. It was assigned to this organization in the NPPES registry on July 27, 2022.

Where is Thrive Health And Wellness LLC located?

Thrive Health And Wellness LLC is located at 421 Page Place Rd, Statesboro, GA 30458. The listed phone number is (912) 259-9619.

What is Thrive Health And Wellness LLC's specialty?

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

Is Thrive Health And Wellness LLC enrolled in Medicare?

Yes. Thrive Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thrive Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Thrive Health And Wellness 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Thrive Health And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2272022) is associated with this NPI, valid through November 13, 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 Thrive Health And Wellness LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.