1. Home
  2. Directory
  3. Georgia
  4. Austell
  5. Family Medicine
  6. NPI Profile

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: October 25, 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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nissi Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Nissi Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Marga Ngwang, M.D.
Family Practice
NPI 1861703654
1810 MULKEY RD SUITE 105
Austell, GA 30106
(678) 540-7597
✔ PECOS✔ Accepts MedicareSame address
Sonia Francis, NP
Nurse Practitioner
NPI 1932558137
380 MILTON DR
Covington, GA 30016
(386) 837-5590
✔ PECOS✔ Accepts Medicare41 mi
Tiffany Wells, NP-C
Nurse Practitioner
NPI 1821509183
415 6TH ST
Lewiston, ID 83501
(208) 750-7507
✔ PECOS✔ Accepts Medicare1,905 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Nissi Family Medicine LLC enrolled in Medicare?

Yes. Nissi Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nissi Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Nissi Family Medicine LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.