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CLIFFORD FAMILY PRACTICE
NPI 1023295730
Family Medicine in Marietta, GA

Active since January 24, 2008CLIA 11D1006094 · Waiver
1355 CHURCH STREET EXT NE STE G, MARIETTA, GA 30060(678) 388-1355(770) 422-1416 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2021, Jul 10, 2020, Jun 12, 2020 and 1 more (4 updates tracked since 2020).

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 holds a CLIA Waiver certificate valid through November 6, 2026, maintains a secondary practice location in Marietta, and lists David M Clifford, Md, as its authorized official.

NPPES Registry Identity

NPI1023295730
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLIFFORD FAMILY PRACTICE
Location Address1355 CHURCH STREET EXT NE STE GMarietta, GA 30060-1099
Mailing Address1355 Church Street Ext Ne Ste GMarietta, GA 30060-1099 · (678) 388-1355 · Fax (770) 422-1416
Phone(678) 388-1355
Fax(770) 422-1416
Organization SubpartNo
Authorized OfficialDavid M CliffordMd · (678) 388-1355
Enumeration DateJanuary 24, 2008
Last NPPES UpdateMarch 3, 20214 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1023295730 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 · 041757
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.
1355 CHURCH STREET EXT NE STE G, Marietta, GA 30060
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Secondary Practice Location 1

Location 1660 Cherokee St NE Ste AMarietta, GA 30060-8966 · Phone (678) 388-1355 · Fax (770) 422-1416

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 of Waiver 11D1006094

Clifford Family Practice · Marietta, GA
Active · expires Nov 6, 2026
CLIA Number11D1006094
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorDavid M. Clifford
Laboratory Phone(770) 422-3232
Laboratory LocationClifford Family Practice1355 Church Street Ext, Suite G, Marietta, GA 30060
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 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.

Does Clifford Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1006094) is associated with this NPI, valid through November 6, 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 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.