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REAGAN MEDICAL CENTER
NPI 1003426628
Family Medicine in Braselton, GA

Active since August 07, 2020CLIA 11D0959517 · Certificate of Compliance
1241 FRIENDSHIP RD STE 110, BRASELTON, GA 30517(678) 344-8700 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reagan Medical Center NPPES

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

REAGAN MEDICAL CENTER (NPI 1003426628) is a healthcare organization registered as a family medicine in Braselton, Georgia and active in the NPI registry since August 2020. The organization holds a CLIA Certificate of Compliance certificate valid through September 19, 2026 and lists Satish B Poddar, Md, as its authorized official.

NPPES Registry Identity

NPI1003426628
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREAGAN MEDICAL CENTER
Location Address1241 FRIENDSHIP RD STE 110Braselton, GA 30517-5609
Mailing Address2878 Five Forks Trickum Rd Ste 2aLawrenceville, GA 30044-5896 · (678) 344-8700
Phone(678) 344-8700
Organization SubpartYes
Authorized OfficialSatish B PoddarMd · (678) 344-8700
Enumeration DateAugust 7, 2020
NPPES CertifiedAugust 7, 2020
✔ NPI 1003426628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeurological SurgeryTaxonomy 207T00000X
1241 FRIENDSHIP RD STE 110, Braselton, GA 30517
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Compliance 11D0959517

Reagan Medical Center · Lawrenceville, GA
Active · expires Sep 19, 2026
CLIA Number11D0959517
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorSatish B. Poddar
Laboratory Phone(678) 344-8700
Laboratory LocationReagan Medical Center2878 Five Forks Trickum Rd Ste 2-A, Lawrenceville, GA 30044
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Reagan Medical Center's NPI number?

The NPI number for Reagan Medical Center is 1003426628. It was assigned to this organization in the NPPES registry on August 7, 2020.

Where is Reagan Medical Center located?

Reagan Medical Center is located at 1241 Friendship Rd Ste 110, Braselton, GA 30517. The listed phone number is (678) 344-8700.

What is Reagan Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Reagan Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0959517) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reagan Medical Center was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.