EMORY CLINIC, INC.
NPI 1053537415
General Acute Care Hospital - Critical Access in Atlanta, GA

Active since April 17, 2007CLIA Certified · 6 labs
1365 CLIFTON RD NE, RM A 4309, ATLANTA, GA 30322(404) 778-5287 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emory Clinic, Inc. NPPES

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

EMORY CLINIC, INC. (NPI 1053537415) is a healthcare organization registered as a critical access in Atlanta, Georgia and active in the NPI registry since April 2007. The organization holds 6 active CLIA laboratory certificates and lists Daniel Owens, Senior Administrator, as its authorized official.

NPPES Registry Identity

NPI1053537415
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameEMORY CLINIC, INC.
Location Address1365 CLIFTON RD NE, RM A 4309Atlanta, GA 30322-1013
Mailing Address9 33rd St SeCharleston, WV 25304-1303 · (304) 382-4665
Organization SubpartNo
Authorized OfficialDaniel OwensSenior Administrator · (404) 778-5287
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1053537415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
1365 CLIFTON RD NE, Atlanta, GA 30322

CLIA Laboratory Certificates CMS CLIA 6

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 Accreditation 11D0682497

Emory Clinic Pulmonary Function Lab, The · Atlanta, GA
Active · expires Nov 3, 2026
CLIA Number11D0682497
Laboratory TypeHospital Outpatient
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorMicah Fisher
Laboratory Phone(404) 778-3261
Laboratory LocationEmory Clinic Pulmonary Function Lab, The1365 Clifton Road, NE, Tec Bldg A, 3rd Floor Attn Joanne Van Etten-Emory Clinic, Atlanta, GA 30322
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D2329227

Emory Clinic Mobile Psa Lab · Atlanta, GA
Active · expires Feb 24, 2028
CLIA Number11D2329227
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorDavid Alter
Laboratory Phone(404) 778-4152
Laboratory LocationEmory Clinic Mobile Psa Lab1784 North Decatur Road, Room 419, Atlanta, GA 30322
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D0692232

Emory Clinic Derm Mohs Surgery Lab · Atlanta, GA
Active · expires Nov 3, 2026
CLIA Number11D0692232
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorDr. Travis W. Blalock
Laboratory Phone(770) 656-8576
Laboratory LocationEmory Clinic Derm Mohs Surgery Lab1525 Clifton Road, 3rd Floor, Atlanta, GA 30322
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 11D0692183

Emory Clinic Section Of Urology · Atlanta, GA
Active · expires Oct 30, 2026
CLIA Number11D0692183
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorDr. Chad Ritenour
Laboratory Phone(404) 778-0269
Laboratory LocationEmory Clinic Section Of Urology1365 Clifton Rd, Bldg B, Suite 1441, Atlanta, GA 30322
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0964948

Emory Clinic Primary Care · Atlanta, GA
Active · expires Oct 17, 2026
CLIA Number11D0964948
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorReema H. Dbouk
Laboratory Phone(404) 778-2700
Laboratory LocationEmory Clinic Primary Care1525 Clifton Rd NE, Flr 4, Atlanta, GA 30322
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0692233

Emory Clinic Ob/Gyn Department · Atlanta, GA
Active · expires Aug 31, 2026
CLIA Number11D0692233
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStephen Weiss
Laboratory Phone(404) 248-3400
Laboratory LocationEmory Clinic Ob/Gyn Department1365 Clifton Road Clinic A 4th Floor, Atlanta, GA 30322
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Internal Medicine (Cardiovascular Disease)
1365 CLIFTON RD NE
ATLANTA, GA 30322

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 Emory Clinic, Inc.'s NPI number?

The NPI number for Emory Clinic, Inc. is 1053537415. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Emory Clinic, Inc. located?

Emory Clinic, Inc. is located at 1365 Clifton Rd NE Rm A 4309, Atlanta, GA 30322. The listed phone number is (404) 778-5287.

What is Emory Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Does Emory Clinic, Inc. hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Emory Clinic, Inc. was last updated on August 22, 2020. 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.