SUMMIT HEALTHCARE CENTER LLC
NPI 1033922216
Family Medicine in Roswell, GA

Active since January 30, 2025CLIA 11D2322863 · Waiver
1570 HOLCOMB BRIDGE RD STE 510, ROSWELL, GA 30076(470) 870-6641 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Healthcare Center Llc NPPES

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

SUMMIT HEALTHCARE CENTER LLC (NPI 1033922216) is a healthcare organization registered as a family medicine in Roswell, Georgia and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Ugochi Gucci Ezeala, Physician/ceo, as its authorized official.

NPPES Registry Identity

NPI1033922216
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUMMIT HEALTHCARE CENTER LLC
Location Address1570 HOLCOMB BRIDGE RD STE 510Roswell, GA 30076-2596
Mailing Address1570 Holcomb Bridge Rd Ste 510Roswell, GA 30076-2596
Organization SubpartNo
Authorized OfficialUgochi Gucci EzealaPhysician/ceo · (470) 870-6641
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1033922216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1570 HOLCOMB BRIDGE RD STE 510, Roswell, GA 30076

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

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 11D2322863

Summit Healthcare Center, LLC · Roswell, GA
Active · expires Apr 27, 2027
CLIA Number11D2322863
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorUgochi Gucci Ezeala
Laboratory Phone(470) 210-2375
Laboratory LocationSummit Healthcare Center, LLC1570 Holcomb Bridge Road, Suite 510, Roswell, GA 30076
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
1570 HOLCOMB BRIDGE RD STE 510
ROSWELL, GA 30076

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 Summit Healthcare Center LLC's NPI number?

The NPI number for Summit Healthcare Center LLC is 1033922216. It was assigned to this organization in the NPPES registry on January 30, 2025.

Where is Summit Healthcare Center LLC located?

Summit Healthcare Center LLC is located at 1570 Holcomb Bridge Rd Ste 510, Roswell, GA 30076. The listed phone number is (470) 870-6641.

What is Summit Healthcare Center LLC's specialty?

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

Does Summit Healthcare Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2322863) is associated with this NPI, valid through April 27, 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 Summit Healthcare Center LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.