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Valdosta Health & Wellness Clinic Inc

NPI 1366840258ActiveOrganization· Nurse Practitioner, Adult Health· Valdosta, GA

Nurse Practitioner, Adult Health in Valdosta, Georgia, registered in NPPES in December 2014. The authorized official on file is Tracey Q. Livingston, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1366840258
StatusActive
Entity typeOrganization
NPI issuedDec 9, 2014
Last updated in NPPESDec 9, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Adult Health Primary363LA2200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

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