HIS HANDS FAMILY PRACTICE CLINIC LLC
NPI 1003403163
Nurse Practitioner - Family in Mableton, GA

Active since December 23, 2020CLIA 11D2235961 · Waiver
6011 HENDRIX LN, MABLETON, GA 30126(678) 559-5803 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About His Hands Family Practice Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIS HANDS FAMILY PRACTICE CLINIC LLC (NPI 1003403163) is a healthcare organization registered as a family in Mableton, Georgia and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Olatunde Synthia Olatunji, Owner, as its authorized official.

NPPES Registry Identity

NPI1003403163
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHIS HANDS FAMILY PRACTICE CLINIC LLC
Location Address6011 HENDRIX LNMableton, GA 30126-3483
Mailing Address6011 Hendrix LnMableton, GA 30126-3483
Organization SubpartNo
Authorized OfficialOlatunde Synthia OlatunjiOwner · (678) 559-5803
Enumeration DateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
NPI 1003403163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6011 HENDRIX LN, Mableton, GA 30126

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2235961

His Hands Family Practice Clinic LLC · Mableton, GA
Active · expires Sep 13, 2027
CLIA Number11D2235961
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorOlatunde Olatunki
Laboratory Phone(678) 559-5803
Laboratory LocationHis Hands Family Practice Clinic LLC852 Veteran Memorial Parkway, Mableton, GA 30126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6011 HENDRIX LN
MABLETON, GA 30126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is His Hands Family Practice Clinic LLC's NPI number?

The NPI number for His Hands Family Practice Clinic LLC is 1003403163. It was assigned to this organization in the NPPES registry on December 23, 2020.

Where is His Hands Family Practice Clinic LLC located?

His Hands Family Practice Clinic LLC is located at 6011 Hendrix Ln, Mableton, GA 30126. The listed phone number is (678) 559-5803.

What is His Hands Family Practice Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does His Hands Family Practice Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2235961) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for His Hands Family Practice Clinic LLC was last updated on December 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.