ATHENS INTEGRATIVE WELLNESS CENTER
NPI 1669805453
Nurse Practitioner in Athens, TX

Q: What is Athens Integrative Wellness Center's NPI number?

The NPI number for Athens Integrative Wellness Center is 1669805453. It was assigned to this organization in the NPPES registry on August 15, 2013.

Q: What is Athens Integrative Wellness Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 15, 2013

714 S PALESTINE ST, ATHENS, TX 75751(903) 675-8889 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Athens Integrative Wellness Center NPPES

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

ATHENS INTEGRATIVE WELLNESS CENTER (NPI 1669805453) is a healthcare organization registered as a nurse practitioner in Athens, Texas and active in the NPI registry since August 2013. The organization lists William Roy Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1669805453

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameATHENS INTEGRATIVE WELLNESS CENTER

Location Address714 S PALESTINE STAthens, TX 75751-3325

Mailing Address714 S Palestine StAthens, TX 75751-3325 · (903) 675-8889

Phone(903) 675-8889

Organization SubpartNo

Authorized OfficialWilliam Roy CarterOwner · (903) 675-8889

Enumeration DateAugust 15, 2013

✔ NPI 1669805453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · F0613561

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

714 S PALESTINE ST, Athens, TX 75751

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Other Identifiers 2

Medicare UPINU74454TX

Other00037NTX · Medicare Id-type Unspecified

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athens Integrative Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20140304001729Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Athens Integrative Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Carter, DC

Nurse Practitioner

NPI 1962413880

714 S PALESTINE ST
Athens, TX 75751

(903) 675-8889

✔ PECOS✔ Accepts Medicare1.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Athens Integrative Wellness Center's NPI number?

The NPI number for Athens Integrative Wellness Center is 1669805453. It was assigned to this organization in the NPPES registry on August 15, 2013.

Where is Athens Integrative Wellness Center located?

Athens Integrative Wellness Center is located at 714 S Palestine St, Athens, TX 75751. The listed phone number is (903) 675-8889.

What is Athens Integrative Wellness Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Athens Integrative Wellness Center enrolled in Medicare?

Yes. Athens Integrative Wellness Center is registered in the Medicare PECOS enrollment system.

When is Athens Integrative Wellness Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Athens Integrative Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Athens Integrative Wellness Center. 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.

When was this NPI record last updated?

The NPPES record for Athens Integrative Wellness Center was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.