Organization Active NPI

Temple Wellness, LLC

  • Primary Care Clinic/Center
  • Chatsworth, GA
National Provider Identifier
1235940487
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TEMPLE WELLNESS, LLC
Doing business as
Temple Wellness
Practice address
1422 Green Rd Ste M
Chatsworth, GA 30705-6999
Phone
(706) 960-2717
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kasie BarrettNPI 1528001765
Title
Owner
Phone
(706) 960-2717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1422 Green Rd Ste M
Chatsworth, GA 30705-6999

Mailing address

1422 Green Rd Ste M
Chatsworth, GA 30705-6999

Other names 1

  • Temple Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250224002151 GA Part B Supplier - Clinic/Group Practice 0345760120 Receives reassigned benefits from 2 practitioners
Practice locations: Chatsworth, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2322232Temple Care & Wellness1422 Green Road, Suite M & N, Chatsworth, GA 30705Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

Locations

1422 Green Rd
Chatsworth, GA 30705
Phone (706) 960-2717

1422 Green Rd
Ste M
Chatsworth, GA 30705
Phone (706) 960-2717

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1235940487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 GREEN RD STE M",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307056999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 GREEN RD STE M",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307056999",
            "telephone_number": "706-960-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "KASIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-960-2717"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Temple Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.