U.S. MEDICAL GROUP OF TENNESSEE, LLC
NPI 1073358453
Clinic/Center - Ambulatory Surgical in Garden City, GA

Active since June 27, 2024CLIA 11D1068104 · Waiver
200 GULFSTREAM RD, GARDEN CITY, GA 31408(912) 713-2306 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2026, Jun 27, 2024 (2 updates tracked since 2024).

About U.s. Medical Group Of Tennessee, Llc NPPES

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

U.S. MEDICAL GROUP OF TENNESSEE, LLC (NPI 1073358453) is a healthcare organization registered as an ambulatory surgical in Garden City, Georgia and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through May 2, 2027, maintains a secondary practice location in Grovetown, and lists Connie M Gresham, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1073358453
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameU.S. MEDICAL GROUP OF TENNESSEE, LLC
Location Address200 GULFSTREAM RDGarden City, GA 31408-9677
Mailing Address1405 S Orange Ave Ste 603Orlando, FL 32806 · (407) 849-2288 · Fax (407) 849-6412
Organization SubpartNo
Authorized OfficialConnie M GreshamDirector Of Operations · (407) 849-2288
Enumeration DateJune 27, 2024
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1073358453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
200 GULFSTREAM RD, Garden City, GA 31408

Secondary Practice Location 1

Location 13001 Gordon HwyGrovetown, GA 30813-3808 · Phone (912) 800-5205

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 11D1068104

Us Medical Group · Garden City, GA
Active · expires May 2, 2027
CLIA Number11D1068104
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorRobert A. Wynn
Laboratory Phone(912) 800-5205
Laboratory LocationUs Medical Group200 Gulfstream Road, Garden City, GA 31408
CLIA data matches this NPI record on: Address 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.

Dental Hygienist
200 GULFSTREAM RD
GARDEN CITY, GA 31408
Psychiatry & Neurology (Psychiatry)
200 GULFSTREAM RD
GARDEN CITY, GA 31408

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 U.S. Medical Group Of Tennessee, LLC's NPI number?

The NPI number for U.S. Medical Group Of Tennessee, LLC is 1073358453. It was assigned to this organization in the NPPES registry on June 27, 2024.

Where is U.S. Medical Group Of Tennessee, LLC located?

U.S. Medical Group Of Tennessee, LLC is located at 200 Gulfstream Rd, Garden City, GA 31408. The listed phone number is (912) 713-2306.

What is U.S. Medical Group Of Tennessee, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does U.S. Medical Group Of Tennessee, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1068104) is associated with this NPI, valid through May 2, 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 U.S. Medical Group Of Tennessee, LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.