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JUBILEE FAMILY PRACTICE, LLC
NPI 1922860311
Nurse Practitioner - Family in Waycross, GA

Active since January 30, 2024CLIA 11D2300768 · Waiver
1415 ALICE ST, WAYCROSS, GA 31501(912) 387-2186(912) 387-4328 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jubilee Family Practice, Llc NPPES

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

JUBILEE FAMILY PRACTICE, LLC (NPI 1922860311) is a healthcare organization registered as a family in Waycross, Georgia and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Katherine C Varnadore, Owner, as its authorized official.

NPPES Registry Identity

NPI1922860311
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJUBILEE FAMILY PRACTICE, LLC
Location Address1415 ALICE STWaycross, GA 31501-4528
Mailing Address1415 Alice StWaycross, GA 31501-4528 · (912) 387-2186
Phone(912) 387-2186
Fax(912) 387-4328
Organization SubpartNo
Authorized OfficialKatherine C VarnadoreOwner · (912) 387-2186
Enumeration DateJanuary 30, 2024
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1922860311 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
1415 ALICE ST, Waycross, GA 31501
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 11D2300768

Jubilee Family Practice, LLC · Waycross, GA
Active · expires Mar 14, 2028
CLIA Number11D2300768
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorKatherine C. Varnadore
Laboratory Phone(912) 387-2186
Laboratory LocationJubilee Family Practice, LLC1415 Alice Street, Waycross, GA 31501
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 8

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

AMBER JOHNSON CCC-SLP
Speech-Language Pathologist
1415 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 283-0777
KATHERINE VARNADORE APRN
Nurse Practitioner (Family)
1415 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 387-2186
ACCESS DERMPATH, INC.
Clinical Medical Laboratory
1415 ALICE ST
WAYCROSS, GA 31501
Ware County (352) 536-9270
LEFAND CHIROPRACTIC CENTER, P.C.
Chiropractor
1415 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 282-2989
JANNA S WRIGHT SLP
Speech-Language Pathologist
1415 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 283-0777
TRACY A JONES CCC-SLP
Speech-Language Pathologist
1415 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 283-0777
FRANKIE STRICKLAND CCC-SLP
Speech-Language Pathologist
1415 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 283-0777
VICTORIA RALEIGH SLP
Speech-Language Pathologist
1415 ALICE ST
WAYCROSS, GA 31501
Ware County (912) 283-0777

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 Jubilee Family Practice, LLC's NPI number?

The NPI number for Jubilee Family Practice, LLC is 1922860311. It was assigned to this organization in the NPPES registry on January 30, 2024.

Where is Jubilee Family Practice, LLC located?

Jubilee Family Practice, LLC is located at 1415 Alice St, Waycross, GA 31501. The listed phone number is (912) 387-2186.

What is Jubilee Family Practice, LLC's specialty?

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

Does Jubilee Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2300768) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jubilee Family Practice, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jubilee Family Practice, 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 Jubilee Family Practice, LLC was last updated on February 21, 2024. 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.