INTEGRATED HEALTH AND WELLNESS SOLUTIONS
NPI 1811679269
Nurse Practitioner - Family in Forest Park, GA

Q: What is Integrated Health And Wellness Solutions's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 04, 2023CLIA 11D2289802 · Waiver

4146 JONESBORO RD, FOREST PARK, GA 30297(678) 799-1218(770) 264-5181 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 5, 2023, Nov 15, 2023, Oct 5, 2023 and 1 more (4 updates tracked since 2023).

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About Integrated Health And Wellness Solutions NPPES

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

INTEGRATED HEALTH AND WELLNESS SOLUTIONS (NPI 1811679269) is a healthcare organization registered as a family in Forest Park, Georgia and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Melva L Banks, Owner, as its authorized official.

NPPES Registry Identity

NPI1811679269

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameINTEGRATED HEALTH AND WELLNESS SOLUTIONS

Location Address4146 JONESBORO RDForest Park, GA 30297-1038

Mailing Address1333 Cedar Grove Rd Unit 1136Conley, GA 30288-2542 · (470) 666-4762

Phone(678) 799-1218

Fax(770) 264-5181

Organization SubpartNo

Authorized OfficialMelva L BanksOwner · (470) 666-4762

Enumeration DateAugust 4, 2023

Last NPPES UpdateDecember 5, 20234 updates tracked since enumeration

NPPES CertifiedDecember 5, 2023

✔ NPI 1811679269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

4146 JONESBORO RD, Forest Park, GA 30297

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Other Names 1

Other NameIntegrated Health And Wellness Solutions

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Integrated Health And Wellness Solutions 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 Integrated Health And Wellness Solutions, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melva Banks, FNP-C

Nurse Practitioner

NPI 1083343487

4146 JONESBORO RD
Forest Park, GA 30297

(470) 666-4762

✔ 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 11D2289802

Integrated Health And Wellness Solutions · Forest Park, GA

Active · expires Sep 14, 2027

CLIA Number11D2289802

Laboratory TypePhysician Office

Certificate Effective DateSeptember 15, 2025

Certificate Expiration DateSeptember 14, 2027

Laboratory DirectorMelva L. Banks

Laboratory Phone(470) 666-4762

Laboratory LocationIntegrated Health And Wellness Solutions4146 Jonesboro Road, Forest Park, GA 30298

CLIA data matches this NPI record on: Address 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 Integrated Health And Wellness Solutions's NPI number?

The NPI number for Integrated Health And Wellness Solutions is 1811679269. It was assigned to this organization in the NPPES registry on August 4, 2023.

Where is Integrated Health And Wellness Solutions located?

Integrated Health And Wellness Solutions is located at 4146 Jonesboro Rd, Forest Park, GA 30297. The listed phone number is (678) 799-1218.

What is Integrated Health And Wellness Solutions's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Integrated Health And Wellness Solutions enrolled in Medicare?

Yes. Integrated Health And Wellness Solutions is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Health And Wellness Solutions?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Integrated Health And Wellness Solutions. 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 Integrated Health And Wellness Solutions hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2289802) is associated with this NPI, valid through September 14, 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 Integrated Health And Wellness Solutions was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.