FORWARD WELLNESS GROUP, LLC
NPI 1891416301
Nurse Practitioner - Family in Crawfordville, FL

Active since September 05, 2022CLIA 10D2268431 · Waiver
71 SONGBIRD AVE STE D, CRAWFORDVILLE, FL 32327(850) 343-5800(850) 343-5700 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, May 6, 2024, Sep 5, 2022 (3 updates tracked since 2022).

About Forward Wellness Group, Llc NPPES

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

FORWARD WELLNESS GROUP, LLC (NPI 1891416301) is a healthcare organization registered as a family in Crawfordville, Florida and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Courtney Lane Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1891416301
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFORWARD WELLNESS GROUP, LLC
Location Address71 SONGBIRD AVE STE DCrawfordville, FL 32327-2296
Mailing Address71 Songbird Ave Ste DCrawfordville, FL 32327-2296 · (850) 343-5800 · Fax (850) 343-5700
Fax(850) 343-5700
Organization SubpartNo
Authorized OfficialCourtney Lane DavisOwner · (850) 343-5800
Enumeration DateSeptember 5, 2022
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1891416301 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
71 SONGBIRD AVE STE D, Crawfordville, FL 32327

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

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 10D2268431

Forward Wellness · Crawfordville, FL
Active · expires Sep 11, 2026
CLIA Number10D2268431
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorCourtney L. Davis
Laboratory Phone(850) 343-5800
Laboratory LocationForward Wellness71 Songbird Avenue,suite D, Crawfordville, FL 32327
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
71 SONGBIRD AVE STE D
CRAWFORDVILLE, FL 32327

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 Forward Wellness Group, LLC's NPI number?

The NPI number for Forward Wellness Group, LLC is 1891416301. It was assigned to this organization in the NPPES registry on September 5, 2022.

Where is Forward Wellness Group, LLC located?

Forward Wellness Group, LLC is located at 71 Songbird Ave Ste D, Crawfordville, FL 32327. The listed phone number is (850) 343-5800.

What is Forward Wellness Group, LLC's specialty?

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

Does Forward Wellness Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2268431) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Forward Wellness Group, LLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.