DULUTH FAMILY MEDICAL CLINIC
NPI 1821297920
Internal Medicine in Duluth, GA
NPI Status: Active since July 17, 2007
Contact Information
4855 RIVER GREEN PKWY
SUITE 520
DULUTH, GA
ZIP 30096
Phone: (678) 417-1588
Fax: (678) 417-1589
- Organization
- Internal Medicine
- CLIA Number: 11D1042313
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-22-2027
About DULUTH FAMILY MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Duluth Family Medical Clinic, an internist established in Duluth, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1821297920 assigned on July 2007. The practitioner's primary taxonomy code is 207R00000X with license number 051195 (GA). The provider is registered as an organization and their NPI record was last updated 18 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 provider's is doing business as Duluth Family Medical Clinic. The authorized official of this NPI record is Dr. Alice-wei You M.d. (President)
- NPI
- 1821297920
- Provider Legal Name
- EVERGREEN PRIMARY CARE, PC
- Other Organization Name
- DULUTH FAMILY MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4855 RIVER GREEN PKWY SUITE 520 DULUTH, GA 30096
- Location Phone
- (678) 417-1588
- Location Fax
- (678) 417-1589
- Mailing Address
- 4855 RIVER GREEN PKWY SUITE 520 DULUTH, GA 30096
- Mailing Phone
- (678) 417-1588
- Mailing Fax
- (678) 417-1589
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2007
- Last Update Date
- 07-17-2007
- Code Navigator
An internist like Duluth Family Medical 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.
- 051195
- 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:
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 |
|---|---|---|---|
| H58867 | MEDICARE UPIN (02) | 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
- 11D1042313
- Facility Type
- Physician Office
- Certificate Effective Date
- June 23, 2025
- Certificate Expiration Date
- June 22, 2027
- Laboratory Director
- STEVEN C. HE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Duluth Family Medical 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 DULUTH FAMILY MEDICAL 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. | |||||||||
| 1 | 8 | 2 | 1 | 2 | 9 | 7 | 9 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 4 | 9 | 14 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 4 + 9 + 1 + 4 + 9 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1821297920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245253236 | DUSKA V DYER MD Individual | Family Medicine | 4855 RIVER GREEN PKWY SUITE 700 DULUTH, GA 30096 (770) 622-0880 |
| 1891806444 | MR. BEOM J LEE D.D.S. Individual | Dentist (General Practice) | 4855 RIVER GREEN PKWY SUITE 110 DULUTH, GA 30096 (770) 500-3757 |
| 1992803720 | NOELLE E RUDDOCK-SOLOMON M.D. Individual | Pediatrics | 4855 RIVER GREEN PKWY SUITE 610 DULUTH, GA 30096 (770) 232-1444 |
| 1104927565 | NELLY MIZRAHI M.D. Individual | Family Medicine | 4855 RIVER GREEN PKWY SUITE 700 DULUTH, GA 30096 (770) 622-0880 |
| 1841357696 | BOYLE AND TOTH FAMILY MEDICINE, L.L.C. Organization | Family Medicine | 4855 RIVER GREEN PKWY SUITE 700 DULUTH, GA 30096 (770) 622-0880 |
| 1447438874 | YOUNG WON KANG M.D. P.C. Organization | Clinic/Center | 4855 RIVER GREEN PKWY #140 DULUTH, GA 30096 (678) 417-0077 |
| 1497926083 | C.A.R.E. PEDIATRICS, LLC Organization | Clinic/Center (Primary Care) | 4855 RIVER GREEN PKWY SUITE 610 DULUTH, GA 30096 (770) 232-1444 |
| 1861790743 | SAEROM PHYSICAL THERAPY, INC Organization | Physical Therapist | 4855 RIVER GREEN PKWY SUITE 110 DULUTH, GA 30096 (678) 557-0600 |
| 1992055198 | YOUNGSHIN HEALTH LLC Organization | Acupuncturist | 4855 RIVER GREEN PKWY SUITE 130 DULUTH, GA 30096 (678) 546-7777 |
| 1790031011 | ARLENE L SALMON PA Individual | Physician Assistant (Medical) | 4855 RIVER GREEN PKWY SUITE 700 DULUTH, GA 30096 (770) 622-0880 |
| 1689803959 | KAVITA REDDY GONE M.B.B.S. Individual | Family Medicine | 4855 RIVER GREEN PKWY DULUTH, GA 30096 (770) 622-0880 |
| 1487688438 | THE VEIN DOCTOR, LLC Organization | Internal Medicine (Cardiovascular Disease) | 4855 RIVER GREEN PKWY SUITE 140 DULUTH, GA 30096 (678) 528-7078 |
| 1104292630 | LIFELINE PRIMARY CARE, INC Organization | Family Medicine | 4855 RIVER GREEN PKWY BUILDING 7, SUITE 700 DULUTH, GA 30096 (678) 775-9344 |
| 1437807021 | RACHEL MAE VANKEMPEN Individual | Occupational Therapist | 4855 RIVER GREEN PKWY DULUTH, GA 30096 (470) 499-1116 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821297920, enumerated in the NPI registry as an "organization" on July 17, 2007
The provider is located at 4855 River Green Pkwy Suite 520 Duluth, Ga 30096 and the phone number is (678) 417-1588
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D1042313 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 July 17, 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].
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