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HEALING OAKS LLC
NPI 1649856493
Clinic/Center - Primary Care in Canton, GA

Active since March 22, 2021CLIA 11D2227826 · Waiver
203 OAKSIDE LN STE C, CANTON, GA 30114(770) 604-1930(770) 604-1929 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Healing Oaks Llc NPPES

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

HEALING OAKS LLC (NPI 1649856493) is a healthcare organization registered as a primary care in Canton, Georgia and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Sheryl B Vickery, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1649856493
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALING OAKS LLC
Location Address203 OAKSIDE LN STE CCanton, GA 30114-6407
Mailing AddressPo Box 5554Canton, GA 30114-0290 · (770) 378-0328 · Fax (770) 604-1929
Phone(770) 604-1930
Fax(770) 604-1929
Organization SubpartNo
Authorized OfficialSheryl B VickeryOwner/manager · (770) 378-0328
Enumeration DateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1649856493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
203 OAKSIDE LN STE C, Canton, GA 30114
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Other Identifiers 1

Medicaid773092643FGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healing Oaks Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healing Oaks LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sheryl Vickery, M.D.
Family Practice
NPI 1538226220
203 OAKSIDE LN STE C
Canton, GA 30114
(470) 410-7911
✔ PECOS✔ Accepts MedicareSame 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 11D2227826

Healing Oaks, LLC · Canton, GA
Active · expires Jun 16, 2027
CLIA Number11D2227826
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorSheryl B. Vickery
Laboratory Phone(470) 410-7911
Laboratory LocationHealing Oaks, LLC203 Oakside Lane, Suite C, Canton, GA 30114
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 Healing Oaks LLC's NPI number?

The NPI number for Healing Oaks LLC is 1649856493. It was assigned to this organization in the NPPES registry on March 22, 2021.

Where is Healing Oaks LLC located?

Healing Oaks LLC is located at 203 Oakside Ln Ste C, Canton, GA 30114. The listed phone number is (770) 604-1930.

What is Healing Oaks LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Healing Oaks LLC enrolled in Medicare?

Yes. Healing Oaks LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing Oaks LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Healing Oaks 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Healing Oaks LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2227826) is associated with this NPI, valid through June 16, 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 Healing Oaks LLC was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.