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MARIPOSA MEDICAL ASSOCIATES, LLC
NPI 1073111977
Internal Medicine in Smyrna, GA

Active since October 13, 2020CLIA 11D2285457 · Waiver
767 CONCORD RD SE, SMYRNA, GA 30082(678) 305-1700 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariposa Medical Associates, Llc NPPES

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

MARIPOSA MEDICAL ASSOCIATES, LLC (NPI 1073111977) is a healthcare organization registered as an internal medicine in Smyrna, Georgia and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Lachunna Bryant, Manager, as its authorized official.

NPPES Registry Identity

NPI1073111977
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARIPOSA MEDICAL ASSOCIATES, LLC
Location Address767 CONCORD RD SESmyrna, GA 30082-2625
Mailing Address767 Concord Rd SeSmyrna, GA 30082-2625 · (678) 305-1700
Phone(678) 305-1700
Organization SubpartNo
Authorized OfficialLachunna BryantManager · (770) 676-0831
Enumeration DateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1073111977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
767 CONCORD RD SE, Smyrna, GA 30082
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Other Identifiers 1

Other1194707398GA · Individual Npi

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 11D2285457

Mariposa Medical Associates, LLC · Smyrna, GA
Active · expires Jul 11, 2027
CLIA Number11D2285457
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorFaye Vargas Morris
Laboratory Phone(678) 305-1700
Laboratory LocationMariposa Medical Associates, LLC767 Concord Road, SE, Smyrna, GA 30080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. CAROLYN TAYLOR GILSTAD D.C.
Chiropractor
767 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (770) 319-6633
DR. WILLIAM FLOYD STEWART D.C.
Chiropractor
767 CONCORD RD SE
SMYRNA, GA 30082
Cobb County (770) 319-6633

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 Mariposa Medical Associates, LLC's NPI number?

The NPI number for Mariposa Medical Associates, LLC is 1073111977. It was assigned to this organization in the NPPES registry on October 13, 2020.

Where is Mariposa Medical Associates, LLC located?

Mariposa Medical Associates, LLC is located at 767 Concord Rd SE, Smyrna, GA 30082. The listed phone number is (678) 305-1700.

What is Mariposa Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mariposa Medical Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2285457) is associated with this NPI, valid through July 11, 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 Mariposa Medical Associates, LLC was last updated on October 13, 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.