HEALING VALLEY WELLNESS & PRIMARY CARE LLC NPI 1689553711

NPI Information

  • NPI: 1689553711
  • Provider Name: HEALING VALLEY WELLNESS & PRIMARY CARE, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 106 PEARL DR STE 107
    LA FAYETTE, GA
    ZIP 30728
  • Phone: (706) 400-6707

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NPI Details

HEALING VALLEY WELLNESS & PRIMARY CARE, LLC is a primary care nurse practitioner in La Fayette, GA. HEALING VALLEY WELLNESS & PRIMARY CARE, LLC NPI is 1689553711. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 PEARL DR STE 107
LA FAYETTE, GA
ZIP 30728-510
Phone: (706) 400-6707
Fax: (706) 400-6491

The provider's authorized official is Teresa Ann Novak .
The authorized official title is Managing Member and has the following contact phone number (423) 432-6052.

The enumeration date for this NPI number is 9/2/2025 and was last updated on 12/8/2025.

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
1363LP2300XNurse PractitionerPrimary CareYes

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

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