Numi Wellness and Diabetes Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NUMI WELLNESS AND DIABETES CENTER LLC

Practice address

1525 Fair Rd Ste 105a
Statesboro, GA 30458-6118

Phone

(276) 591-8383

Fax

(912) 259-9509

NPI assigned

Oct 18, 2024

Last updated

May 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Hollis, DONPI 1942697495

Title

Owner

Phone

(276) 591-8383

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDHIDD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Boyd Hollis, D.O.

  • Family Medicine Physician
  • Statesboro, GA
  • NPI 1942697495
  Medicare reassignment NPD Authorized official
• Kimberly Hollis, FNP

  • Family Nurse Practitioner
  • Statesboro, GA
  • NPI 1861967564
  Medicare reassignment NPD

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1518788959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 FAIR RD STE 105A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 FAIR RD STE 105A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586118",
            "telephone_number": "276-591-8383",
            "fax_number": "912-259-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUMI WELLNESS AND DIABETES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-591-8383",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003208278C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ijeoma Jacinta Nnanabu, MD
• Alexis Jane Noll
• Norman Transportation Service LLC
• Beula Norman
• Mary Elizabeth Norris
• Omonigho Sonia Nwoke, MD
• Sydney Doolittle O'Malley, MD
• Courtney O'Neal
• Rachel Mauldin O'Toole, M.S., CCC-SLP
• Gay Michelle Marasigan Ocenar

• Family Medicine Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.