FAMILY MEDICAL AND URGENT CARE CLINIC OF MCDONOUGH, LLC
NPI 1043440530
Family Medicine in Mcdonough, GA

Active since July 20, 2009CLIA 11D2287107 · Certificate of Compliance
1631 HWY 20 W, MCDONOUGH, GA 30253(770) 288-2822(770) 288-2820 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, Jan 12, 2026, Nov 18, 2022 and 2 more (5 updates tracked since 2019).

About Family Medical And Urgent Care Clinic Of Mcdonough, Llc NPPES

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

FAMILY MEDICAL AND URGENT CARE CLINIC OF MCDONOUGH, LLC (NPI 1043440530), doing business as Family Health Clinic, is a healthcare organization registered as a family medicine in Mcdonough, Georgia and active in the NPI registry since July 2009. The organization holds a CLIA Certificate of Compliance certificate valid through July 7, 2027, maintains 2 additional practice locations, and lists Danielle O Eidson, Administrative Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1043440530
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICAL AND URGENT CARE CLINIC OF MCDONOUGH, LLC
Location Address1631 HWY 20 WMcdonough, GA 30253-7311
Mailing Address1631 Hwy 20 WMcdonough, GA 30253-7311 · (770) 288-2822 · Fax (770) 288-2820
Fax(770) 288-2820
Organization SubpartNo
Authorized OfficialDanielle O EidsonAdministrative Operations Manager · (770) 288-2822
Enumeration DateJuly 20, 2009
Last NPPES UpdateJuly 29, 20265 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1043440530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 056874
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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 004088 (GA)
1631 HWY 20 W, Mcdonough, GA 30253

Other Names 2

Doing Business AsFamily Health Clinic
Doing Business AsFamily Medical Clinic Of Mcdonough

Secondary Practice Locations 2

Location 11075 Bandy Pkwy Ste 120Locust Grove, GA 30248-7060 · Phone (770) 288-2822
Location 210263 Highway 19 N Ste 230Zebulon, GA 30295 · Phone (770) 288-2822 · Fax (770) 692-8177

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)

Family Medical And Urgent Care Clinic Of Mcdonough, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Family Medical And Urgent Care Clinic Of Mcdonough, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner19
Family Practice4
Emergency Medicine2
Cardiovascular Disease (Cardiology)1
Hospitalist1
Internal Medicine1

Nearest to this location (20)

See all 28
Nurse Practitioner
NPI 1942900394
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOSSame address
Family Practice
NPI 1427146125
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1417842147
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1023406162
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS2.9 mi
Internal Medicine
NPI 1235113002
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1578344800
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1871163097
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1407866775
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1699509372
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS2.9 mi
Family Practice
NPI 1295972032
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1528416542
1631 HIGHWAY 20 W
Mcdonough, GA 30253
(770) 288-2822
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1376137562
3333 JODECO RD STE D
Mcdonough, GA 30253
(770) 474-1919
✔ PECOS4.9 mi
Nurse Practitioner
NPI 1144009705
1075 BRANDY PARKWAY SUITE 120
Locust Grove, GA 30248
(770) 288-2822
✔ PECOS8.0 mi
Family Practice
NPI 1871763011
3778 HIGHWAY 42
Locust Grove, GA 30248
(678) 610-6649
✔ PECOS8.8 mi
Cardiovascular Disease (Cardiology)
NPI 1326045881
321 S 9TH ST
Griffin, GA 30224
(770) 229-5897
✔ PECOS12 mi
Nurse Practitioner
NPI 1073009122
619 S 8TH ST. SUITE 200
Griffin, GA 30224
(770) 227-1587
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1871018937
619 S 8TH ST STE 304
Griffin, GA 30224
(470) 267-1680
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1831242544
1502 W 3RD ST STE A
Jackson, GA 30233
(770) 914-0116
✔ PECOS17 mi
Emergency Medicine
NPI 1144214438
1775 PARKER RD SUITE C240
Conyers, GA 30094
(678) 609-6282
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1235237611
1412 MILSTEAD AVE NE
Conyers, GA 30012
(770) 994-9326
✔ PECOS✔ Accepts Medicare23 mi
See all 28 clinicians

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 Compliance 11D2287107

Family Medical And Urgent Care Clinic LLC Dba Family Health Clinic · Locust Grove, GA
Active · expires Jul 7, 2027
CLIA Number11D2287107
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorOnika A. Popo James
Laboratory Phone(770) 288-2822
Laboratory LocationFamily Medical And Urgent Care Clinic LLC Dba Family Health Clinic1075 Bandy Parkway, Suite 120, Locust Grove, GA 30248
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Family Medical And Urgent Care Clinic Of Mcdonough, LLC's NPI number?

The NPI number for Family Medical And Urgent Care Clinic Of Mcdonough, LLC is 1043440530. It was assigned to this organization in the NPPES registry on July 20, 2009. The provider is doing business as Family Health Clinic and Family Medical Clinic of McDonough.

Where is Family Medical And Urgent Care Clinic Of Mcdonough, LLC located?

Family Medical And Urgent Care Clinic Of Mcdonough, LLC is located at 1631 Hwy 20 W, Mcdonough, GA 30253. The listed phone number is (770) 288-2822.

What is Family Medical And Urgent Care Clinic Of Mcdonough, LLC's specialty?

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

Is Family Medical And Urgent Care Clinic Of Mcdonough, LLC enrolled in Medicare?

Yes. Family Medical And Urgent Care Clinic Of Mcdonough, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medical And Urgent Care Clinic Of Mcdonough, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 6 Medicare specialties reassign their Medicare billing to Family Medical And Urgent Care Clinic Of Mcdonough, 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. The largest specialties are Nurse Practitioner (19), Family Practice (4) and Emergency Medicine (2). Of these, 1 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Medical And Urgent Care Clinic Of Mcdonough, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2287107) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Medical And Urgent Care Clinic Of Mcdonough, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Family Medical And Urgent Care Clinic Of Mcdonough, 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 Family Medical And Urgent Care Clinic Of Mcdonough, LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.