CLIFFORD FAMILY PRACTICE
NPI 1023295730
Family Medicine in Marietta, GA
About Clifford Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLIFFORD FAMILY PRACTICE (NPI 1023295730) is a healthcare organization registered as a family medicine in Marietta, Georgia and active in the NPI registry since January 2008. The organization maintains a secondary practice location in Marietta and lists David M Clifford, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clifford Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clifford Family Practice, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D1006094
Clifford Family Practice · Marietta, GAFrequently 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 Clifford Family Practice's NPI number?
The NPI number for Clifford Family Practice is 1023295730. It was assigned to this organization in the NPPES registry on January 24, 2008.
Where is Clifford Family Practice located?
Clifford Family Practice is located at 1355 Church Street Ext NE Ste G, Marietta, GA 30060. The listed phone number is (678) 388-1355.
What is Clifford Family Practice's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clifford Family Practice enrolled in Medicare?
Yes. Clifford Family Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clifford Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Clifford Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clifford Family Practice was last updated on March 3, 2021. 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.
# Clifford Family Practice · NPI 1023295730
Family Medicine organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since January 24, 2008.
## Identity
- **NPI:** 1023295730 (Entity type: Organization)
- **Enumerated:** January 24, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** David Clifford, MD
## Practice location
- **Address:** 1355 CHURCH STREET EXT NE STE G, Marietta, GA 30060-1099
- **Phone:** (678) 388-1355 · **Fax:** (770) 422-1416
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1023295730) · Data from the CMS NPPES public registry.