EXPRESS CLINIC
NPI 1023768090
General Practice in Duluth, GA

Active since March 24, 2022CLIA 11D2235970 · Waiver
3350 STEVE REYNOLDS BLVD, STE 408, DULUTH, GA 30096(678) 783-4449 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Express Clinic NPPES

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

EXPRESS CLINIC (NPI 1023768090) is a healthcare organization registered as a general practice in Duluth, Georgia and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Solomon Matovu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023768090
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEXPRESS CLINIC, LLC
Location Address3350 STEVE REYNOLDS BLVD, STE 408Duluth, GA 30096
Mailing Address3628 Satellite Blvd Unit 958236Duluth, GA 30095-0489
Organization SubpartNo
Authorized OfficialSolomon MatovuCeo · (678) 783-4927
Enumeration DateMarch 24, 2022
Last NPPES UpdateAugust 23, 2023
NPPES CertifiedJuly 11, 2022
✔ NPI 1023768090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3350 STEVE REYNOLDS BLVD, Duluth, GA 30096

Other Names 1

Other NameExpress Clinic

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Express Clinic 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 Express Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1932467768
3350 STEVE REYNOLDS BLVD
Duluth, GA 30096
(706) 666-6196
✔ PECOS✔ Accepts Medicare0.3 mi

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 11D2235970

Express Clinic · Duluth, GA
Active · expires Sep 13, 2027
CLIA Number11D2235970
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorSolomon Matovu
Laboratory Phone(770) 666-6196
Laboratory LocationExpress Clinic3350 Steve Reynolds Boulevard Suite 408, Duluth, GA 30096
CLIA data matches this NPI record on: Address 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 Express Clinic, LLC's NPI number?

The NPI number for Express Clinic, LLC is 1023768090. It was assigned to this organization in the NPPES registry on March 24, 2022. The provider is also known as Express Clinic.

Where is Express Clinic, LLC located?

Express Clinic, LLC is located at 3350 Steve Reynolds Blvd Ste 408, Duluth, GA 30096. The listed phone number is (678) 783-4449.

What is Express Clinic, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Express Clinic, LLC enrolled in Medicare?

Yes. Express Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Express Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Express Clinic, LLC. 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.

Does Express Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2235970) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Express Clinic, LLC accept?

Health plans from Oscar Health list Express Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Express Clinic, LLC was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.