Livwell Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIVWELL HEALTH LLC

Practice address

210 W Broome St
Lagrange, GA 30240-3102

Phone

(706) 668-5140

Fax

(706) 668-5142

NPI assigned

Nov 17, 2022

Organization subpart

No

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

Authorized official

Name

Haley Buice

Title

Practice Manage

Phone

(706) 668-5140

Specialties & licenses 2

Addresses

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

Practitioners 4

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

• John Thomas Veal

  • Family Nurse Practitioner
  • Lagrange, GA
  • NPI 1053892760
  Medicare reassignment Care Compare group NPD
• Jordan Martinec

  • Physician Assistant
  • Lagrange, GA
  • NPI 1679950729
  Medicare reassignment Care Compare group
• Anthony Gatens

  • Family Nurse Practitioner
  • Lagrange, GA
  • NPI 1750735619
  Medicare reassignment NPD
• Abayomi G Oshinowo, MD

  • Emergency Medicine Physician
  • Thomaston, GA
  • NPI 1417956467

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1689383671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W BROOME ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403102",
            "telephone_number": "706-668-5140",
            "fax_number": "706-668-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W BROOME ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403102",
            "telephone_number": "706-668-5140",
            "fax_number": "706-668-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVWELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "BUICE",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "PRACTICE MANAGE",
        "authorized_official_telephone_number": "706-668-5140"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE 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": [],
    "endpoints": [],
    "other_names": []
}

• Limbcare Prosthetics & Orthotics of Georgia Inc.
• Sally D. Lincoln, R.D., L.D., M.S.A.
• Marquetta R Linder
• Jimmie Kyle Lindsey, PHARMD
• Breanna Lee Nicole Livingston
• Regina Cuddington Lott
• Lotus Group LLC
• Lashaina Lovelace
• Loving Hands Foundation Incorporated
• Kimberly G Luckman, NP

• Family Medicine Physician in Lagrange, GA
• Providers in Lagrange, 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 Mar 6, 2023; 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.