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PERSONAL WELLNESS INC.
NPI 1780161323
Family Medicine - Adult Medicine in Johns Creek, GA

Active since July 26, 2018CLIA 11D2287268 · Waiver
625 BOXWOOD TER, JOHNS CREEK, GA 30005(770) 569-9429 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Personal Wellness Inc. NPPES

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

PERSONAL WELLNESS INC. (NPI 1780161323) is a healthcare organization registered as an adult medicine in Johns Creek, Georgia and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists David Robert Rich, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780161323
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePERSONAL WELLNESS INC.
Location Address625 BOXWOOD TERJohns Creek, GA 30005-7217
Mailing Address625 Boxwood TerJohns Creek, GA 30005-7217 · (770) 569-9429
Phone(770) 569-9429
Organization SubpartNo
Authorized OfficialDavid Robert RichCeo · (770) 569-9429
Enumeration DateJuly 26, 2018
✔ NPI 1780161323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
625 BOXWOOD TER, Johns Creek, GA 30005
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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)

Personal Wellness Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Personal Wellness Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kenneth Rice, M.D.
Emergency Medicine
NPI 1831148063
2021 MARKET PLACE BLVD PRIME CARE URGENT CARE
Cumming, GA 30041
(770) 292-9982
✔ PECOS✔ Accepts Medicare8.6 mi
Brandy Brown, DNP,APRN, FNP-C, PMH
Nurse Practitioner
NPI 1003252412
2330 SCENIC HWY S STE 707
Snellville, GA 30078
(678) 542-7488
✔ PECOS18 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 11D2287268

Personal Wellness Inc · Johns Creek, GA
Active · expires Aug 10, 2027
CLIA Number11D2287268
Laboratory TypeHealth Fair
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorThomas Reeths
Laboratory Phone(770) 330-7179
Laboratory LocationPersonal Wellness Inc625 Boxwood Terrace, Johns Creek, GA 30005
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 Personal Wellness Inc.'s NPI number?

The NPI number for Personal Wellness Inc. is 1780161323. It was assigned to this organization in the NPPES registry on July 26, 2018.

Where is Personal Wellness Inc. located?

Personal Wellness Inc. is located at 625 Boxwood Ter, Johns Creek, GA 30005. The listed phone number is (770) 569-9429.

What is Personal Wellness Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Personal Wellness Inc. enrolled in Medicare?

Yes. Personal Wellness Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Personal Wellness Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Personal Wellness Inc., 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Personal Wellness Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2287268) is associated with this NPI, valid through August 10, 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 Personal Wellness Inc. was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.