PARKWAY FAMILY MEDICINE LLC
NPI 1730486598
Clinic/Center - Primary Care in Pooler, GA
About Parkway Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARKWAY FAMILY MEDICINE LLC (NPI 1730486598), doing business as Womens Healthcare And Family Medicine, is a healthcare organization registered as a primary care in Pooler, Georgia and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through August 18, 2028 and lists Ludella Brown, Advanced Practice Nurse, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Parkway Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Parkway Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 11D2190836
Parkway Family Medicine · Pooler, GAFrequently 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 Parkway Family Medicine LLC's NPI number?
The NPI number for Parkway Family Medicine LLC is 1730486598. It was assigned to this organization in the NPPES registry on February 14, 2011. The provider was formerly known as Womens Healthcare And Family Medicine.
Where is Parkway Family Medicine LLC located?
Parkway Family Medicine LLC is located at 122 Canal St Ste 102, Pooler, GA 31322. The listed phone number is (912) 450-0999.
What is Parkway Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Parkway Family Medicine LLC enrolled in Medicare?
Yes. Parkway Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Parkway Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Parkway Family Medicine 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Parkway Family Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2190836) is associated with this NPI, valid through August 18, 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 Parkway Family Medicine LLC was last updated on August 3, 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.
# Parkway Family Medicine Llc · NPI 1730486598
Primary Care organization in Pooler, Georgia. Organization record, active in the CMS NPPES registry since February 14, 2011.
## Identity
- **NPI:** 1730486598 (Entity type: Organization)
- **Enumerated:** February 14, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ludella Brown, ADVANCED PRACTICE NURSE
## Practice location
- **Address:** 122 CANAL ST STE 102, Pooler, GA 31322-4408
- **Phone:** (912) 450-0999 · **Fax:** (912) 450-0999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2023
- **Other identifiers:** Medicaid 153640219H (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730486598) · Data from the CMS NPPES public registry.