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BARRY MEDICAL CLINIC
NPI 1033709043
Family Medicine in Lilburn, GA

Active since January 23, 2021CLIA 11D2184345 · Waiver
4030 LAWRENCEVILLE HWY NW STE 9, LILBURN, GA 30047(678) 880-9990(678) 880-8834 Get Directions Write a Review

NPPES record last updated: January 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barry Medical Clinic NPPES

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

BARRY MEDICAL CLINIC (NPI 1033709043) is a healthcare organization registered as a family medicine in Lilburn, Georgia and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Jeffrey Donohue, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033709043
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBARRY MEDICAL CLINIC
Location Address4030 LAWRENCEVILLE HWY NW STE 9Lilburn, GA 30047-2823
Mailing Address1825 Mountain Lake Dr NwKennesaw, GA 30152-7734
Phone(678) 880-9990
Fax(678) 880-8834
Organization SubpartYesParent: K Loor Medical Llc
Authorized OfficialJeffrey DonohueMedical Director · (678) 880-9990
Enumeration DateJanuary 23, 2021
NPPES CertifiedJanuary 23, 2021
✔ NPI 1033709043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
4030 LAWRENCEVILLE HWY NW STE 9, Lilburn, GA 30047
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Other Names 1

Doing Business AsBarry Medical Clinic

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 11D2184345

Kloor Medical LLC Dba Barry Medical Clinic · Canton, GA
Active · expires May 18, 2028
CLIA Number11D2184345
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorJeffery Donohue
Laboratory Phone(678) 880-9990
Laboratory LocationKloor Medical LLC Dba Barry Medical Clinic1750 Marietta Highway Suite 250, Canton, GA 30114
CLIA data matches this NPI record on: Name Phone
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 Barry Medical Clinic's NPI number?

The NPI number for Barry Medical Clinic is 1033709043. It was assigned to this organization in the NPPES registry on January 23, 2021.

Where is Barry Medical Clinic located?

Barry Medical Clinic is located at 4030 Lawrenceville Hwy NW Ste 9, Lilburn, GA 30047. The listed phone number is (678) 880-9990.

What is Barry Medical Clinic's specialty?

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

Does Barry Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2184345) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Barry Medical Clinic was last updated on January 23, 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.