FAITH FAMILY PRACTICE LLC
NPI 1649819343
Family Medicine in Waycross, GA

Active since December 27, 2019CLIA 11D2177968 · Waiver
2100 RIVERSIDE AVE, WAYCROSS, GA 31501(912) 490-7777(912) 490-7778 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2026, Apr 23, 2020, Apr 14, 2020 and 2 more (5 updates tracked since 2019).

About Faith Family Practice Llc NPPES

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

FAITH FAMILY PRACTICE LLC (NPI 1649819343) is a healthcare organization registered as a family medicine in Waycross, Georgia and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists Mary Elizabeth Page, Owner, as its authorized official.

NPPES Registry Identity

NPI1649819343
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAITH FAMILY PRACTICE LLC
Location Address2100 RIVERSIDE AVEWaycross, GA 31501-7020
Mailing AddressPo Box 741Waycross, GA 31502-0741 · (912) 490-7777 · Fax (912) 490-7778
Fax(912) 490-7778
Organization SubpartNo
Authorized OfficialMary Elizabeth PageOwner · (912) 490-7777
Enumeration DateDecember 27, 2019
Last NPPES UpdateJanuary 8, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1649819343 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.

2100 RIVERSIDE AVE, Waycross, GA 31501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 11D2177968

Faith Family Practice · Waycross, GA
Active · expires Jan 22, 2028
CLIA Number11D2177968
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorClay Andrew Lee
Laboratory Phone(912) 490-7777
Laboratory LocationFaith Family Practice2100 Riverside Avenue, Waycross, GA 31501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
2100 RIVERSIDE AVE
WAYCROSS, GA 31501
Nurse Practitioner (Family)
2100 RIVERSIDE AVE
WAYCROSS, GA 31501
Family Medicine
2100 RIVERSIDE AVE
WAYCROSS, GA 31501
Physician Assistant
2100 RIVERSIDE AVE
WAYCROSS, GA 31501
Emergency Medicine
2100 RIVERSIDE AVE
WAYCROSS, GA 31501
Case Management
2100 RIVERSIDE AVE
WAYCROSS, GA 31501

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 Faith Family Practice LLC's NPI number?

The NPI number for Faith Family Practice LLC is 1649819343. It was assigned to this organization in the NPPES registry on December 27, 2019.

Where is Faith Family Practice LLC located?

Faith Family Practice LLC is located at 2100 Riverside Ave, Waycross, GA 31501. The listed phone number is (912) 490-7777.

What is Faith Family Practice LLC's specialty?

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

Does Faith Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2177968) is associated with this NPI, valid through January 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Faith Family Practice LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Faith Family Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Faith Family Practice LLC was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.