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MCINTOSH TRAIL FAMILY PRACTICE
NPI 1023230422
Family Medicine in Griffin, GA

Active since May 03, 2007CLIA 11D0726263 · Microscopy
747 S HILL ST, GRIFFIN, GA 30224(770) 228-5407(770) 227-1430 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mcintosh Trail Family Practice NPPES

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

MCINTOSH TRAIL FAMILY PRACTICE (NPI 1023230422) is a healthcare organization registered as a family medicine in Griffin, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through March 11, 2027 and lists David A Van, Owner, as its authorized official.

NPPES Registry Identity

NPI1023230422
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCINTOSH TRAIL FAMILY PRACTICE
Location Address747 S HILL STGriffin, GA 30224-4830
Mailing Address747 S Hill StGriffin, GA 30224-4830 · (770) 228-5407 · Fax (770) 227-1430
Phone(770) 228-5407
Fax(770) 227-1430
Organization SubpartNo
Authorized OfficialDavid A VanOwner · (770) 228-5407
Enumeration DateMay 3, 2007
Last NPPES UpdateJanuary 7, 2010
✔ NPI 1023230422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 029545
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.
747 S HILL ST, Griffin, GA 30224
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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 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 for Provider-Performed Microscopy Procedures (PPMP) 11D0726263

Mcintosh Trail Family Practice · Griffin, GA
Active · expires Mar 11, 2027
CLIA Number11D0726263
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorDr. David A. Van
Laboratory Phone(770) 506-1106
Laboratory LocationMcintosh Trail Family Practice747 South Hill Street, Griffin, GA 30224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

VICKI LYNDALL VAN M.D.
Family Medicine
747 S HILL ST
GRIFFIN, GA 30224
Spalding County (770) 228-5407
ALANNA MARIE EVANS-GASSES PA
Physician Assistant
747 S HILL ST
GRIFFIN, GA 30224
Spalding County (770) 450-8878
DANIEL J SMITH NP
Nurse Practitioner (Family)
747 S HILL ST
GRIFFIN, GA 30224
Spalding County (770) 228-5407
TRACY ANTOINE ANDREWS APRN
Nurse Practitioner
747 S HILL ST
GRIFFIN, GA 30224
Spalding County (770) 228-5407
MRS. HOLLY ANN SHOEMAKER MSN, APRN, NP-C
Nurse Practitioner (Family)
747 S HILL ST
GRIFFIN, GA 30224
Spalding County (770) 228-5407
TRACEY L BAKER FNP
Nurse Practitioner (Family)
747 S HILL ST
GRIFFIN, GA 30224
Spalding County (770) 228-5407
ERIN KATHLEEN JONES MSN, APRN, FNP-BC
Nurse Practitioner (Family)
747 S HILL ST
GRIFFIN, GA 30224
Spalding County (770) 228-5707
MTFP2 LLC
Obstetrics & Gynecology
747 S HILL ST
GRIFFIN, GA 30224
Spalding County (404) 943-0205

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 Mcintosh Trail Family Practice's NPI number?

The NPI number for Mcintosh Trail Family Practice is 1023230422. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Mcintosh Trail Family Practice located?

Mcintosh Trail Family Practice is located at 747 S Hill St, Griffin, GA 30224. The listed phone number is (770) 228-5407.

What is Mcintosh Trail Family Practice's specialty?

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

Does Mcintosh Trail Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0726263) is associated with this NPI, valid through March 11, 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 Mcintosh Trail Family Practice was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.