1. Home
  2. Directory
  3. Georgia
  4. Ray City
  5. Family Medicine
  6. NPI Profile

MEDICAL WELLNESS CENTER OF GEORGIA, LLC
NPI 1972003879
Family Medicine in Ray City, GA

Active since February 16, 2018CLIA 11D2147175 · Waiver
1523 OLD VALDOSTA RD, RAY CITY, GA 31645(877) 755-2212 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 20, 2023, Aug 29, 2018, Feb 22, 2018 and 1 more (4 updates tracked since 2018).

About Medical Wellness Center Of Georgia, Llc NPPES

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

MEDICAL WELLNESS CENTER OF GEORGIA, LLC (NPI 1972003879) is a healthcare organization registered as a family medicine in Ray City, Georgia and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through April 15, 2028, maintains a secondary practice location in Greensboro, and lists Wendy S Pearson, Owner, as its authorized official.

NPPES Registry Identity

NPI1972003879
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL WELLNESS CENTER OF GEORGIA, LLC
Location Address1523 OLD VALDOSTA RDRay City, GA 31645-7132
Mailing Address1523 Old Valdosta RdRay City, GA 31645-7132 · (706) 480-4322 · Fax (877) 366-9625
Phone(877) 755-2212
Organization SubpartNo
Authorized OfficialWendy S PearsonOwner · (706) 480-4322
Enumeration DateFebruary 16, 2018
Last NPPES UpdateJuly 20, 20234 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1972003879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1523 OLD VALDOSTA RD, Ray City, GA 31645
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Cowles Clinc Way Ste 300Greensboro, GA 30642 · Phone (706) 480-4322 · Fax (877) 366-9625

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 11D2147175

Medical Wellness Center Of Georgia · Ray City, GA
Active · expires Apr 15, 2028
CLIA Number11D2147175
Laboratory TypeIndependent
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorWendy Pearson
Laboratory Phone(706) 480-4322
Laboratory LocationMedical Wellness Center Of Georgia1523 Old Valdosta Road, Ray City, GA 31645
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 2

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

MRS. COSETTE ODOM BELL ARNP
Nurse Practitioner
1523 OLD VALDOSTA RD
RAY CITY, GA 31645
Berrien County (877) 755-2212
MRS. WENDY C PEARSON ARNP
Nurse Practitioner (Family)
1523 OLD VALDOSTA RD
RAY CITY, GA 31645
Berrien County (877) 543-7221

Frequently Asked Questions

What is MEDICAL WELLNESS CENTER OF GEORGIA, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1972003879, enumerated as an "organization" on February 16, 2018.

Where is the provider located?

The provider is located at 1523 OLD VALDOSTA RD RAY CITY, GA 31645 and the phone number is (877) 755-2212.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does MEDICAL WELLNESS CENTER OF GEORGIA, LLC accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.