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STAT WELLNESS ROSWELL
NPI 1689393621
Clinic/Center in Roswell, GA

Active since August 23, 2022CLIA 11D2259371 · Waiver
87 VICKERY ST, ROSWELL, GA 30075(404) 254-5905 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 6, 2023, Aug 23, 2022 (2 updates tracked since 2022).

About Stat Wellness Roswell NPPES

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

STAT WELLNESS ROSWELL (NPI 1689393621), doing business as Stat Wellness, is a healthcare organization registered as a clinic/center in Roswell, Georgia and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Kristin Corbin Oja, Ceo And Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1689393621
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTAT WELLNESS ROSWELL
Location Address87 VICKERY STRoswell, GA 30075-4924
Mailing Address87 Vickery StRoswell, GA 30075-4924 · (404) 254-5905
Phone(404) 254-5905
Organization SubpartNo
Authorized OfficialKristin Corbin OjaCeo And Nurse Practitioner · (404) 731-6868
Enumeration DateAugust 23, 2022
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1689393621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
87 VICKERY ST, Roswell, GA 30075
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Other Names 1

Doing Business AsStat Wellness

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 11D2259371

Stat Wellness Roswell · Roswell, GA
Active · expires May 4, 2028
CLIA Number11D2259371
Laboratory TypeIndependent
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorKristin Oja
Laboratory Phone(404) 254-5607
Laboratory LocationStat Wellness Roswell87 Vickery Street, Roswell, GA 30075
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EMILY MAE JACKSON DPT, OCS
Physical Therapist
87 VICKERY ST
ROSWELL, GA 30075
Fulton County (404) 254-5607

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 Stat Wellness Roswell's NPI number?

The NPI number for Stat Wellness Roswell is 1689393621. It was assigned to this organization in the NPPES registry on August 23, 2022. The provider is doing business as STAT Wellness.

Where is Stat Wellness Roswell located?

Stat Wellness Roswell is located at 87 Vickery St, Roswell, GA 30075. The listed phone number is (404) 254-5905.

What is Stat Wellness Roswell's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Stat Wellness Roswell hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2259371) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stat Wellness Roswell was last updated on September 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.