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LIVWELL HEALTH LLC
NPI 1689383671
Family Medicine in Lagrange, GA

Active since November 17, 2022CLIA 11D2273452 · Waiver
210 W BROOME ST, LAGRANGE, GA 30240(706) 668-5140(706) 668-5142 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2023, Nov 17, 2022 (2 updates tracked since 2022).

About Livwell Health Llc NPPES

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

LIVWELL HEALTH LLC (NPI 1689383671) is a healthcare organization registered as a family medicine in Lagrange, Georgia and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Haley Buice, Practice Manage, as its authorized official.

NPPES Registry Identity

NPI1689383671
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIVWELL HEALTH LLC
Location Address210 W BROOME STLagrange, GA 30240-3102
Mailing Address210 W Broome StLagrange, GA 30240-3102 · (706) 668-5140 · Fax (706) 668-5142
Phone(706) 668-5140
Fax(706) 668-5142
Organization SubpartNo
Authorized OfficialHaley BuicePractice Manage · (706) 668-5140
Enumeration DateNovember 17, 2022
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1689383671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
210 W BROOME ST, Lagrange, GA 30240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Livwell Health 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 Livwell Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

John Veal
Nurse Practitioner
NPI 1053892760
210 W BROOME ST
Lagrange, GA 30240
(706) 954-6750
✔ PECOS✔ Accepts MedicareSame address
Anthony Gatens
Nurse Practitioner
NPI 1750735619
2169 W POINT RD
Lagrange, GA 30240
(706) 668-5140
✔ PECOS✔ Accepts Medicare2.7 mi
Abayomi Oshinowo, MD
Emergency Medicine
NPI 1417956467
801 W GORDON ST
Thomaston, GA 30286
(706) 647-8111
✔ PECOS✔ Accepts Medicare42 mi

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 11D2273452

Livwell Health, LLC · Lagrange, GA
Active · expires Dec 12, 2026
CLIA Number11D2273452
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorAbayomi Oshinowo
Laboratory Phone(706) 945-6750
Laboratory LocationLivwell Health, LLC210 W Broome Street, Lagrange, GA 30240
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 Livwell Health LLC's NPI number?

The NPI number for Livwell Health LLC is 1689383671. It was assigned to this organization in the NPPES registry on November 17, 2022.

Where is Livwell Health LLC located?

Livwell Health LLC is located at 210 W Broome St, Lagrange, GA 30240. The listed phone number is (706) 668-5140.

What is Livwell Health LLC's specialty?

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

Is Livwell Health LLC enrolled in Medicare?

Yes. Livwell Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Livwell Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Livwell Health LLC, in Emergency Medicine and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Livwell Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2273452) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Livwell Health LLC accept?

Health plans from Cigna HealthCare of Arizona, Inc list Livwell Health 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 Livwell Health LLC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.