WEST GEORGIA WELLNESS CENTER LLC
NPI 1740987379
Clinic/Center - Rehabilitation, Substance Use Disorder in Hiram, GA
About West Georgia Wellness Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST GEORGIA WELLNESS CENTER LLC (NPI 1740987379) is a healthcare organization registered as a rehabilitation, substance use disorder in Hiram, Georgia and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Andrew Widota, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
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 11D2276510
West Georgia Wellness Center · Hiram, GAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 West Georgia Wellness Center LLC's NPI number?
The NPI number for West Georgia Wellness Center LLC is 1740987379. It was assigned to this organization in the NPPES registry on February 14, 2023.
Where is West Georgia Wellness Center LLC located?
West Georgia Wellness Center LLC is located at 126 Enterprise Path Ste 104B, Hiram, GA 30141. The listed phone number is (770) 782-0185.
What is West Georgia Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does West Georgia Wellness Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2276510) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for West Georgia Wellness Center LLC was last updated on July 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
