THRIVE WELLNESS CARE, LLC
NPI 1811795123
Family Medicine in Dallas, GA
About Thrive Wellness Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THRIVE WELLNESS CARE, LLC (NPI 1811795123), doing business as Thrive Wellness At Hiram, Llc, is a healthcare organization registered as a family medicine in Dallas, Georgia and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Amy R Evans, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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)
Thrive Wellness 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 Thrive Wellness Care, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2320969
Thrive Wellness Care, LLC · Dallas, 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 Thrive Wellness Care, LLC's NPI number?
The NPI number for Thrive Wellness Care, LLC is 1811795123. It was assigned to this organization in the NPPES registry on March 4, 2025. The provider was formerly known as Thrive Wellness at Hiram, LLC.
Where is Thrive Wellness Care, LLC located?
Thrive Wellness Care, LLC is located at 273 Macland Rd, Dallas, GA 30132. The listed phone number is (770) 441-4001.
What is Thrive Wellness Care, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thrive Wellness Care, LLC enrolled in Medicare?
Yes. Thrive Wellness Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thrive Wellness Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Thrive Wellness 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 Thrive Wellness Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2320969) is associated with this NPI, valid through March 26, 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 Thrive Wellness Care, LLC was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Thrive Wellness Care, Llc · NPI 1811795123
Family Medicine organization in Dallas, Georgia. Organization record, active in the CMS NPPES registry since March 4, 2025.
## Identity
- **NPI:** 1811795123 (Entity type: Organization)
- **Enumerated:** March 4, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Thrive Wellness at Hiram, LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Amy Evans, MANAGER
## Practice location
- **Address:** 273 MACLAND RD, Dallas, GA 30132-5052
- **Phone:** (770) 441-4001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811795123) · Data from the CMS NPPES public registry.