| Thrive Health and Wellness LLC | |
|
421 Page Place Rd Statesboro GA 30458-9050 | |
| (912) 259-9619 | |
| (912) 259-9618 |
| Full Name | Thrive Health and Wellness LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 421 Page Place Rd, Statesboro, Georgia |
| Authorized Official Name and Position | Erica B Lanier (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9122599619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Health and Wellness LLC 421 Page Place Rd Statesboro GA 30458-9050 Ph: (912) 259-9619 | Thrive Health and Wellness LLC 421 Page Place Rd Statesboro GA 30458-9050 Ph: (912) 259-9619 |
| NPI Number | 1629704002 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 08/25/2026 |
| Certification Date | 08/25/2026 |
| Medicare PECOS PAC ID | 0749665644 |
|---|---|
| Medicare Enrollment ID | O20220913002345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629704002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Traci Jo Parillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457968307 PECOS PAC ID: 3274947031 Enrollment ID: I20210208000308 |
| Provider Name | Krystal Anne Fail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073185153 PECOS PAC ID: 3476939034 Enrollment ID: I20221005000399 |
| Provider Name | Erica B Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588185904 PECOS PAC ID: 1658756556 Enrollment ID: I20221020001857 |
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