PREMIER FAMILY CLINIC
NPI 1528113107
Internal Medicine in Chamblee, GA

NPI Status: Active since January 24, 2007

Contact Information

3646 CHAMBLEE TUCKER RD STE B
CHAMBLEE, GA
ZIP 30341
Phone: (770) 493-6767
Fax: (770) 493-6797

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 11D1012176
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-01-2027

About PREMIER FAMILY CLINIC

This page provides the complete NPI Profile along with additional information for Premier Family Clinic, an internist established in Chamblee, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1528113107 assigned on January 2007. The practitioner's primary taxonomy code is 207R00000X with license number 46800 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Nipun Patel (President)

NPI
1528113107
Provider Name
PREMIER FAMILY CLINIC
Entity Type
Organization
Location Address
3646 CHAMBLEE TUCKER RD STE B CHAMBLEE, GA 30341
Location Phone
(770) 493-6767
Location Fax
(770) 493-6797
Mailing Address
3646 CHAMBLEE TUCKER RD STE D CHAMBLEE, GA 30341
Mailing Phone
(770) 493-6767
Mailing Fax
(770) 493-6797
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2007
Last Update Date
06-24-2019
Code Navigator

An internist like Premier Family Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
46800
License State
GA
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO
  • 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. NIPUN PATEL

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 493-6767

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
000821917FMEDICAID (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
11D1012176
Facility Type
Physician Office
Certificate Effective Date
May 02, 2025
Certificate Expiration Date
May 01, 2027
Laboratory Director
NIPUN B. PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Premier Family Clinic 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 PREMIER FAMILY CLINIC

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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.
1528113107
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254821610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 1 + 6 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1528113107 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316499205MS. DINA ASHOK PATEL FNP-C
Individual
Nurse Practitioner (Family)3646 CHAMBLEE TUCKER RD STE B
CHAMBLEE, GA 30341
(770) 493-6767
1053806760MRS. JENNIFER NICOLE NUETZEL FNP-C
Individual
Nurse Practitioner (Family)3646 CHAMBLEE TUCKER RD STE B
CHAMBLEE, GA 30341
(770) 493-6767
1417990987DR. NIPUN PATEL M.D.
Individual
Internal Medicine3646 CHAMBLEE TUCKER RD STE B
CHAMBLEE, GA 30341
(770) 493-6767

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528113107, enumerated in the NPI registry as an "organization" on January 24, 2007

The provider is located at 3646 Chamblee Tucker Rd Ste B Chamblee, Ga 30341 and the phone number is (770) 493-6767

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 11D1012176 for a "physician office" 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 January 24, 2007. 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.