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HEALING VALLEY WELLNESS & PRIMARY CARE, LLC
NPI 1689553711
Nurse Practitioner - Primary Care in La Fayette, GA

Active since September 02, 2025CLIA 11D2339812 · Waiver
106 PEARL DR STE 107, LA FAYETTE, GA 30728(706) 400-6707(706) 400-6491 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2025, Sep 2, 2025 (2 updates tracked since 2025).

About Healing Valley Wellness & Primary Care, Llc NPPES

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

HEALING VALLEY WELLNESS & PRIMARY CARE, LLC (NPI 1689553711) is a healthcare organization registered as a primary care in La Fayette, Georgia and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Teresa Ann Novak, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1689553711
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameHEALING VALLEY WELLNESS & PRIMARY CARE, LLC
Location Address106 PEARL DR STE 107La Fayette, GA 30728-7510
Mailing Address4685 Happy Valley Rd Unit 275Flintstone, GA 30725-2273 · (706) 400-6707 · Fax (706) 400-6491
Phone(706) 400-6707
Fax(706) 400-6491
Organization SubpartNo
Authorized OfficialTeresa Ann NovakManaging Member · (423) 432-6052
Enumeration DateSeptember 2, 2025
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1689553711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
106 PEARL DR STE 107, La Fayette, GA 30728
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healing Valley Wellness & Primary Care, 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 Valley Wellness & Primary Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Teresa Novak, N.P.
Nurse Practitioner
NPI 1487955241
106 PEARL DR STE 107
La Fayette, GA 30728
(706) 400-6707
✔ 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 11D2339812

Healing Valley Wellness & Primary Care · Lafayette, GA
Active · expires Mar 8, 2028
CLIA Number11D2339812
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorTeresa Ann Novak
Laboratory Phone(706) 400-6707
Laboratory LocationHealing Valley Wellness & Primary Care106 Pearl Drive, Suite 107, Lafayette, GA 30728
CLIA data matches this NPI record on: Name Phone
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 Valley Wellness & Primary Care, LLC's NPI number?

The NPI number for Healing Valley Wellness & Primary Care, LLC is 1689553711. It was assigned to this organization in the NPPES registry on September 2, 2025.

Where is Healing Valley Wellness & Primary Care, LLC located?

Healing Valley Wellness & Primary Care, LLC is located at 106 Pearl Dr Ste 107, La Fayette, GA 30728. The listed phone number is (706) 400-6707.

What is Healing Valley Wellness & Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Healing Valley Wellness & Primary Care, LLC enrolled in Medicare?

Yes. Healing Valley Wellness & Primary Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing Valley Wellness & Primary Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Healing Valley Wellness & Primary Care, 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 Valley Wellness & Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2339812) is associated with this NPI, valid through March 8, 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 Healing Valley Wellness & Primary Care, LLC was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.