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CVS PHARMACY 05613
NPI 1891898631
Pharmacy in Hartwell, GA

Active since September 07, 2006CLIA 11D2282612 · Waiver
21 N CAROLINA ST, HARTWELL, GA 30643(706) 376-3147 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy 05613 NPPES

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

CVS PHARMACY 05613 (NPI 1891898631) is a healthcare organization registered as a pharmacy in Hartwell, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1891898631
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGEORGIA CVS PHARMACY LLC
Location Address21 N CAROLINA STHartwell, GA 30643-7206
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(706) 376-3147
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateSeptember 8, 2011
✔ NPI 1891898631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · 005608
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
21 N CAROLINA ST, Hartwell, GA 30643
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Other Names 1

Doing Business AsCvs Pharmacy 05613

Other Identifiers 3

Medicare PIN202G738984
Other1125283Other Id Number-commercial Number
Medicare NSC5754010283

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 11D2282612

Georgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #05613 · Hartwell, GA
Active · expires May 23, 2027
CLIA Number11D2282612
Laboratory TypePharmacy
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorJonathan Brantley
Laboratory Phone(706) 376-3147
Laboratory LocationGeorgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #0561321 North Carolina Street, Hartwell, GA 30643
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
122 services122 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
103 services103 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #05613 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05613

DMEPOS supplier · Hartwell, GAOperated by Georgia CVS Pharmacy, L.L.C.
✔

Accepts Medicare assignment

CVS Pharmacy #05613 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20325485
Medicare Participant SinceJanuary 1, 2023
Supplier Location21 North Carolina StreetHartwell, GA 30649
Phone(706) 376-3147
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

TIMOTHY KEITH COLGROVE PHARMD
Pharmacist
21 N CAROLINA ST
HARTWELL, GA 30643
Hart County (706) 376-3147
DONNA LOTA PHARM D
Pharmacy (Community/Retail Pharmacy)
21 N CAROLINA ST
HARTWELL, GA 30643
Hart County (706) 376-3147
CHERYL RENEE BURKE
Pharmacist
21 N CAROLINA ST
HARTWELL, GA 30643
Hart County (706) 376-3147

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 Georgia CVS Pharmacy LLC's NPI number?

The NPI number for Georgia CVS Pharmacy LLC is 1891898631. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy 05613.

Where is Georgia CVS Pharmacy LLC located?

Georgia CVS Pharmacy LLC is located at 21 N Carolina St, Hartwell, GA 30643. The listed phone number is (706) 376-3147.

What is Georgia CVS Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Georgia CVS Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #05613 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Georgia CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2282612) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgia CVS Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Georgia CVS Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Georgia CVS Pharmacy LLC was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.