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BELMONT VILLAGE
NPI 1073647582
Assisted Living Facility in Suwanee, GA

Active since March 15, 2007CLIA 11D1006558 · Waiver
4315 JOHNS CREEK PKWY, SUWANEE, GA 30024(770) 813-9505(770) 813-0380 Get Directions Write a Review

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

About Belmont Village NPPES

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

BELMONT VILLAGE (NPI 1073647582) is a healthcare organization registered as an assisted living facility in Suwanee, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Rob Rollans, Regional Vp-east, as its authorized official.

NPPES Registry Identity

NPI1073647582
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBELMONT VILLAGE
Location Address4315 JOHNS CREEK PKWYSuwanee, GA 30024-6048
Mailing Address4315 Johns Creek PkwySuwanee, GA 30024-6048 · (770) 813-9505 · Fax (770) 813-0380
Phone(770) 813-9505
Fax(770) 813-0380
Organization SubpartNo
Authorized OfficialRob RollansRegional Vp-east · (713) 463-1741
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073647582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4315 JOHNS CREEK PKWY, Suwanee, GA 30024
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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 11D1006558

Belmont Village At Johns Creek · Suwanee, GA
Active · expires Nov 24, 2026
CLIA Number11D1006558
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorSheri Easton-Garrett
Laboratory Phone(770) 813-9505
Laboratory LocationBelmont Village At Johns Creek4315 Johns Creek Parkway, Suwanee, GA 30024
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.

MS. NATASHA MONIQUE CARLTON M.A. CCC-SLP
Speech-Language Pathologist
4315 JOHNS CREEK PKWY
SUWANEE, GA 30024
Gwinnett County (770) 813-9505
MIA DANIELLE GALLOWAY SLP
Speech-Language Pathologist
4315 JOHNS CREEK PKWY
SUWANEE, GA 30024
Gwinnett County (770) 692-0630

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 Belmont Village's NPI number?

The NPI number for Belmont Village is 1073647582. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Belmont Village located?

Belmont Village is located at 4315 Johns Creek Pkwy, Suwanee, GA 30024. The listed phone number is (770) 813-9505.

What is Belmont Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Belmont Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1006558) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Belmont Village 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.