JOURNEYCARE FAMILY MEDICINE, LLC
NPI 1932808094
Nurse Practitioner - Family in Fayetteville, GA
About Journeycare Family Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOURNEYCARE FAMILY MEDICINE, LLC (NPI 1932808094) is a healthcare organization registered as a family in Fayetteville, Georgia and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Shantrice Nichols-bates, Co-owner/ Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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 11D2282630
Journeycare Family Medicine, LLC · Fayetteville, 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 Journeycare Family Medicine, LLC's NPI number?
The NPI number for Journeycare Family Medicine, LLC is 1932808094. It was assigned to this organization in the NPPES registry on February 27, 2023.
Where is Journeycare Family Medicine, LLC located?
Journeycare Family Medicine, LLC is located at 126 N Park Dr, Fayetteville, GA 30214. The listed phone number is (470) 316-8028.
What is Journeycare Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Journeycare Family Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2282630) 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 Journeycare Family Medicine, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Journeycare Family Medicine, 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 Journeycare Family Medicine, LLC was last updated on January 16, 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.
# Journeycare Family Medicine, Llc · NPI 1932808094
Family organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1932808094 (Entity type: Organization)
- **Enumerated:** February 27, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Shantrice Nichols-Bates, CO-OWNER/ MEDICAL DIRECTOR
## Practice location
- **Address:** 126 N PARK DR, Fayetteville, GA 30214-1645
- **Phone:** (470) 316-8028 · **Fax:** (678) 519-2736
## Record status
- **NPPES last updated:** January 16, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932808094) · Data from the CMS NPPES public registry.