FAMILY CARE CLINIC P.C.
NPI 1245406438
Clinic/Center in Norcross, GA
NPI Status: Active since May 07, 2008
Contact Information
3985 STEVE REYNOLDS BLVD
BUILDING I
NORCROSS, GA
ZIP 30093
Phone: (770) 622-3948
Fax: (770) 622-4879
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 11D1031245
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 09-26-2026
About FAMILY CARE CLINIC P.C.
This page provides the complete NPI Profile along with additional information for Family Care Clinic P.c., a provider established in Norcross, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245406438 assigned on May 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 048628 (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Family Care Clinic P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Nino Renzo Fornasini M.d. (Physician/owner)
- NPI
- 1245406438
- Provider Name
- FAMILY CARE CLINIC P.C.
- Entity Type
- Organization
- Location Address
- 3985 STEVE REYNOLDS BLVD BUILDING I NORCROSS, GA 30093
- Location Phone
- (770) 622-3948
- Location Fax
- (770) 622-4879
- Mailing Address
- 3985 STEVE REYNOLDS BLVD BUILDING I NORCROSS, GA 30093
- Mailing Phone
- (770) 622-3948
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2008
- Last Update Date
- 08-09-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 048628
- License State
- GA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000879755A | MEDICAID (05) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1031245
- Facility Type
- Practitioner Other
- Certificate Effective Date
- September 27, 2024
- Certificate Expiration Date
- September 26, 2026
- Laboratory Director
- NINO FORNASINI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Family Care Clinic P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for FAMILY CARE CLINIC P.C.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 4 | 0 | 6 | 4 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 8 | 0 | 12 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 8 + 0 + 1 + 2 + 4 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1245406438 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003808312 | DR. TRUC THANH PHAM M.D. Individual | Family Medicine | 3985 STEVE REYNOLDS BLVD SUITE K 102 NORCROSS, GA 30093 (678) 367-0390 |
| 1144294505 | DR. THANG NGUYEN D.O. Individual | Family Medicine | 3985 STEVE REYNOLDS BLVD SUITE K-102 NORCROSS, GA 30093 (678) 367-0390 |
| 1831282326 | MR. WILLIAM DAVID MILLER LPC Individual | Counselor (Professional) | 3985 STEVE REYNOLDS BLVD BLDG B SUITE A NORCROSS, GA 30093 (706) 442-9127 |
| 1609961267 | DR. CHUN-TAO T MA DMD Individual | Dentist | 3985 STEVE REYNOLDS BLVD SUITE K101 NORCROSS, GA 30093 (770) 806-1255 |
| 1114096419 | DARYLL DUBAL P.T. Individual | Physical Therapist | 3985 STEVE REYNOLDS BLVD BLD G NORCROSS, GA 30093 (770) 622-2532 |
| 1851415319 | PHUONG B LE DMD Individual | Dentist (General Practice) | 3985 STEVE REYNOLDS BLVD BUILDING O, SUITE 101 NORCROSS, GA 30093 (678) 205-1308 |
| 1720100126 | ATLANTA INTERNATIONAL PT, INC Organization | Physical Therapist | 3985 STEVE REYNOLDS BLVD BLDG G. NORCROSS, GA 30093 (770) 622-2532 |
| 1720253933 | DR. HA NGOC LE D.M.D. Individual | Dentist (General Practice) | 3985 STEVE REYNOLDS BLVD BUILDING O, SUITE 101 NORCROSS, GA 30093 (678) 205-1308 |
| 1558528810 | BETTER HEALTH MEDICAL GROUP Organization | Family Medicine | 3985 STEVE REYNOLDS BLVD SUITE K 102 NORCROSS, GA 30093 (678) 367-0390 |
| 1922268135 | NGA THI VU M.D. Individual | Family Medicine | 3985 STEVE REYNOLDS BLVD SUITE K102 NORCROSS, GA 30093 (678) 367-0390 |
| 1184861460 | NEW LIFE TREATMENT LLC Organization | Community/Behavioral Health | 3985 STEVE REYNOLDS BLVD BLDG B SUITE A NORCROSS, GA 30093 (770) 817-0711 |
| 1811220668 | ILSE LEHMANN Individual | Speech-Language Pathologist | 3985 STEVE REYNOLDS BLVD BLDG G NORCROSS, GA 30093 (770) 622-2532 |
| 1922327949 | LEE ANN SIPE PTA Individual | Physical Therapy Assistant | 3985 STEVE REYNOLDS BLVD BLDG G NORCROSS, GA 30093 (770) 622-2532 |
| 1528369733 | CORTNEY JO MAHOLTZ CCC-SLP Individual | Speech-Language Pathologist | 3985 STEVE REYNOLDS BLVD BLDG G NORCROSS, GA 30093 (770) 622-2532 |
| 1588930218 | EMILIE ERIN JOHNSON OT Individual | Occupational Therapist | 3985 STEVE REYNOLDS BLVD BLD G NORCROSS, GA 30093 (770) 622-2532 |
| 1538413661 | MARY KAVISHE MS Individual | Occupational Therapist | 3985 STEVE REYNOLDS BLVD BLD G NORCROSS, GA 30093 (770) 622-2532 |
| 1952668832 | MRS. JUSTINE DARRYL LOUW Individual | Physical Therapist | 3985 STEVE REYNOLDS BLVD BLDG G NORCROSS, GA 30093 (770) 622-2532 |
| 1548403462 | MARTHA SUZANNE SWAN SLP Individual | Speech-Language Pathologist | 3985 STEVE REYNOLDS BLVD BUILDING G NORCROSS, GA 30093 (770) 622-2532 |
| 1083022883 | MAYA SIMMONS Individual | Speech-Language Pathologist | 3985 STEVE REYNOLDS BLVD BUILDING G NORCROSS, GA 30093 (770) 622-2532 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245406438, enumerated in the NPI registry as an "organization" on May 07, 2008
The provider is located at 3985 Steve Reynolds Blvd Building I Norcross, Ga 30093 and the phone number is (770) 622-3948
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D1031245 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 07, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.