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NISSI FAMILY MEDICINE LLC
NPI 1083010201
Family Medicine in Austell, GA

Active since November 16, 2014CLIA 11D2091295 · Waiver
1810 MULKEY RD, SUITE 105, AUSTELL, GA 30106(678) 540-7597(770) 645-9802 Get Directions Write a Review

NPPES record last updated: November 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nissi Family Medicine Llc NPPES

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

NISSI FAMILY MEDICINE LLC (NPI 1083010201) is a healthcare organization registered as a family medicine in Austell, Georgia and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Marga Ngwang, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1083010201
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNISSI FAMILY MEDICINE LLC
Location Address1810 MULKEY RD, SUITE 105Austell, GA 30106-1151
Mailing Address1810 Mulkey Rd, Suite 105Austell, GA 30106-1151 · (678) 540-7597 · Fax (770) 645-9802
Phone(678) 540-7597
Fax(770) 645-9802
Organization SubpartNo
Authorized OfficialMarga NgwangOwner/medical Director · (678) 540-7597
Enumeration DateNovember 16, 2014
✔ NPI 1083010201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1810 MULKEY RD, Austell, GA 30106
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2091295

Nissi Family Medicine · Austell, GA
Active · expires Feb 9, 2027
CLIA Number11D2091295
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorMarga G. Ngwang
Laboratory Phone(678) 540-7597
Laboratory LocationNissi Family Medicine1810 Mulkey Road, Suite 105, Austell, GA 30106
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 20

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

WELLSTAR PEDIATRIC & FAMILY WELLNESS CENTER, LLC
Psychologist (Clinical)
1810 MULKEY RD, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 634-2349
WELLSTAR MEDICAL GROUP, LLC
Pediatrics
1810 MULKEY RD, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 819-9262
ATLANTA KIDNEY AND HYPERTENSION ASSOCIATES
Internal Medicine (Nephrology)
1810 MULKEY RD, SUITE 103
AUSTELL, GA 30106
Cobb County (770) 732-8464
CASCADE RADIOLOGY CONSULTANTS, PC
Radiology (Diagnostic Radiology)
1810 MULKEY RD, STE 103
AUSTELL, GA 30106
Cobb County (770) 980-8970
AUTUMN ROSS CPNP
Pediatrics
1810 MULKEY RD
AUSTELL, GA 30106
Cobb County (770) 819-9262
WELLSTAR PEDIATRIC & ADOLESCENT CENTER, LLC
Pediatrics
1810 MULKEY RD, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 819-9262
DR. TWANDA E LIGHTFOOT PHD
Psychologist
1810 MULKEY RD, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 634-2349
JAMES A. SEXSON, M.D. LLC
Internal Medicine
1810 MULKEY RD, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 944-0811

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 Nissi Family Medicine LLC's NPI number?

The NPI number for Nissi Family Medicine LLC is 1083010201. It was assigned to this organization in the NPPES registry on November 16, 2014.

Where is Nissi Family Medicine LLC located?

Nissi Family Medicine LLC is located at 1810 Mulkey Rd Suite 105, Austell, GA 30106. The listed phone number is (678) 540-7597.

What is Nissi Family Medicine LLC's specialty?

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

Does Nissi Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2091295) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nissi Family Medicine LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nissi Family Medicine 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 Nissi Family Medicine LLC was last updated on November 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.