WILDWOOD MEDICAL CLINIC
NPI 1902957541
General Acute Care Hospital in Wildwood, GA

Q: What is Wildwood Sanitarium Incorporated's NPI number?

The NPI number for Wildwood Sanitarium Incorporated is 1902957541. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Wildwood Medical Clinic.

Q: What is Wildwood Sanitarium Incorporated's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since January 12, 2007CLIA 11D0021709 · Waiver

435 LIFESTYLE LANE, WILDWOOD, GA 30757(706) 820-1493 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wildwood Medical Clinic NPPES

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

WILDWOOD MEDICAL CLINIC (NPI 1902957541) is a healthcare organization registered as a general acute care hospital in Wildwood, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 8, 2027 and lists Vaughan Harvey Sparrow, Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1902957541

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameWILDWOOD SANITARIUM INCORPORATED

Location Address435 LIFESTYLE LANEWildwood, GA 30757-0129

Mailing AddressP.o Box 129Wildwood, GA 30757-0129 · (706) 820-1493 · Fax (706) 820-7459

Phone(706) 820-1493

Organization SubpartNo

Authorized OfficialVaughan Harvey SparrowHospital Administrator · (706) 820-1493

Enumeration DateJanuary 12, 2007

Last NPPES UpdateAugust 12, 2010

✔ NPI 1902957541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in GA · 41198

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

435 LIFESTYLE LANE, Wildwood, GA 30757

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Other Names 1

Doing Business AsWildwood Medical Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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 11D0021709

Wildwood Medical Clinic Laboratory · Wildwood, GA

Active · expires Dec 8, 2027

CLIA Number11D0021709

Laboratory TypePhysician Office

Certificate Effective DateDecember 9, 2025

Certificate Expiration DateDecember 8, 2027

Laboratory DirectorAysha E. Inankur

Laboratory Phone(706) 820-1636

Laboratory LocationWildwood Medical Clinic Laboratory435 Lifestyle Lane, Wildwood, GA 30757

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

WILDWOOD SANITARIUM, INCORPORATED

General Acute Care Hospital

435 LIFESTYLE LANE
WILDWOOD, GA 30757

Dade County (706) 820-1493

DR. ROBY ANN SHERMAN MD

Internal Medicine

435 LIFESTYLE LANE
WILDWOOD, GA 30757

Dade County (706) 820-1493

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 Wildwood Sanitarium Incorporated's NPI number?

The NPI number for Wildwood Sanitarium Incorporated is 1902957541. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Wildwood Medical Clinic.

Where is Wildwood Sanitarium Incorporated located?

Wildwood Sanitarium Incorporated is located at 435 Lifestyle Lane, Wildwood, GA 30757. The listed phone number is (706) 820-1493.

What is Wildwood Sanitarium Incorporated's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Wildwood Sanitarium Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0021709) is associated with this NPI, valid through December 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wildwood Sanitarium Incorporated accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Wildwood Sanitarium Incorporated 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 Wildwood Sanitarium Incorporated was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.