ZODIAC MEDICAL LLC
NPI 1083344576
Internal Medicine in Lawrenceville, GA
About Zodiac Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZODIAC MEDICAL LLC (NPI 1083344576), doing business as Advanced Medical Care, is a healthcare organization registered as an internal medicine in Lawrenceville, Georgia and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Dong Vien Dang, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zodiac Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Zodiac Medical LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Lawrenceville, GA 30043
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 11D2280549
Zodiac Medical LLC · Lawrenceville, GAFrequently 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 Zodiac Medical LLC's NPI number?
The NPI number for Zodiac Medical LLC is 1083344576. It was assigned to this organization in the NPPES registry on June 16, 2022. The provider is doing business as Advanced Medical Care.
Where is Zodiac Medical LLC located?
Zodiac Medical LLC is located at 1180 Mckendree Church Rd Ste 202, Lawrenceville, GA 30043. The listed phone number is (470) 292-3122.
What is Zodiac Medical LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Zodiac Medical LLC enrolled in Medicare?
Yes. Zodiac Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Zodiac Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Zodiac Medical LLC, in Internal Medicine 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Zodiac Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2280549) is associated with this NPI, valid through April 20, 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 Zodiac Medical LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.