MEDICAL WELLNESS CENTER OF GEORGIA, LLC
NPI 1972003879
Family Medicine in Ray City, GA
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
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Wellness Center Of Georgia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Medical Wellness Center Of Georgia, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 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 Medical Wellness Center Of Georgia, LLC's NPI number?
The NPI number for Medical Wellness Center Of Georgia, LLC is 1972003879. It was assigned to this organization in the NPPES registry on February 16, 2018.
Where is Medical Wellness Center Of Georgia, LLC located?
Medical Wellness Center Of Georgia, LLC is located at 1523 Old Valdosta Rd, Ray City, GA 31645. The listed phone number is (877) 755-2212.
What is Medical Wellness Center Of Georgia, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Medical Wellness Center Of Georgia, LLC enrolled in Medicare?
Yes. Medical Wellness Center Of Georgia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medical Wellness Center Of Georgia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Medical Wellness Center Of Georgia, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medical Wellness Center Of Georgia, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2147175) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Medical Wellness Center Of Georgia, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medical Wellness Center Of Georgia, 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 Medical Wellness Center Of Georgia, LLC was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Medical Wellness Center Of Georgia, Llc · NPI 1972003879
Family Medicine organization in Ray City, Georgia. Organization record, active in the CMS NPPES registry since February 16, 2018.
## Identity
- **NPI:** 1972003879 (Entity type: Organization)
- **Enumerated:** February 16, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Wendy Pearson, OWNER
## Practice location
- **Address:** 1523 OLD VALDOSTA RD, Ray City, GA 31645-7132
- **Phone:** (877) 755-2212
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972003879) · Data from the CMS NPPES public registry.