THRIVE HEALTH AND WELLNESS LLC NPI 1629704002

NPI Information

  • NPI: 1629704002
  • Provider Name: THRIVE HEALTH AND WELLNESS LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D2272022
  • Address: 421 PAGE PLACE RD
    STATESBORO, GA
    ZIP 30458
  • Phone: (912) 259-9619

Map and Directions

Get Directions

NPI Details

THRIVE HEALTH AND WELLNESS LLC is a family medicine in Statesboro, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THRIVE HEALTH AND WELLNESS LLC NPI is 1629704002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

421 PAGE PLACE RD
STATESBORO, GA
ZIP 30458-050
Phone: (912) 259-9619
Fax: (912) 259-9618

The provider's authorized official is Erica B Lanier .
The authorized official title is Authorized Official and has the following contact phone number (912) 259-9619.

The CLIA number assigned to this NPI record is 11D2272022 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2022 and was last updated on 10/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI