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MARIAM GEORGE, M.D.
NPI 1013918671
Clinic/Center - Primary Care in Douglasville, GA

Active since August 04, 2005CLIA 11D0989327 · Waiver
3872 HIGHWAY 5, DOUGLASVILLE, GA 30135(770) 949-5535(770) 949-9022 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariam George, M.d. NPPES

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

MARIAM GEORGE, M.D. (NPI 1013918671) is a healthcare organization registered as a primary care in Douglasville, Georgia and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Mariam George, Family Practice Physician, as its authorized official.

NPPES Registry Identity

NPI1013918671
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDOUGLAS COUNTY FAMILY PRACTICE, P.C.
Location Address3872 HIGHWAY 5Douglasville, GA 30135-3366
Mailing Address3872 Highway 5Douglasville, GA 30135-3366 · (770) 949-5535 · Fax (770) 949-9022
Phone(770) 949-5535
Fax(770) 949-9022
Organization SubpartNo
Authorized OfficialMariam GeorgeFamily Practice Physician · (770) 949-5535
Enumeration DateAugust 4, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013918671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 023734
3872 HIGHWAY 5, Douglasville, GA 30135
Open in Google Maps ↗

Other Names 1

Doing Business AsMariam George, M.d.

Other Identifiers 1

Medicaid00312826CGA

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 11D0989327

Douglas County Family Practice · Douglasville, GA
Active · expires Jul 23, 2027
CLIA Number11D0989327
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorBinu J. George
Laboratory Phone(770) 949-5535
Laboratory LocationDouglas County Family Practice3872 Hwy 5, Douglasville, GA 30135
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

KELLY QUIANA TALBERT THAGGARD FNP-BC
Nurse Practitioner (Family)
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135
Douglas County (770) 949-5535
DOUGLAS COUNTY FAMILY PRACTICE, P.C.
Family Medicine
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135
Douglas County (770) 949-5535
BHUMIKA BANUGARIA
Nurse Practitioner (Family)
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135
Douglas County (770) 949-5535
KELLY SKONER
Nurse Practitioner (Family)
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135
Douglas County (770) 949-5535
DR. THAEDRA DENICE MERCADEL M.D.
Internal Medicine
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135
Douglas County (770) 949-5535
DR. BINU J GEORGE MD
Internal Medicine (Pulmonary Disease)
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135
Douglas County (770) 949-5535
DR. SYED A JAFRI M.D.
Specialist
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135
Douglas County (770) 949-5535

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 Douglas County Family Practice, P.C.'s NPI number?

The NPI number for Douglas County Family Practice, P.C. is 1013918671. It was assigned to this organization in the NPPES registry on August 4, 2005. The provider is doing business as Mariam George, M.D..

Where is Douglas County Family Practice, P.C. located?

Douglas County Family Practice, P.C. is located at 3872 Highway 5, Douglasville, GA 30135. The listed phone number is (770) 949-5535.

What is Douglas County Family Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Douglas County Family Practice, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0989327) is associated with this NPI, valid through July 23, 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 Douglas County Family Practice, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.