MEDICAL CARE OF LAGRANGE, LLC
NPI 1104002799
Internal Medicine in Lagrange, GA

Active since January 14, 2008CLIA 11D1083567 · Waiver
300 MEDICAL DR, SUITE 701, LAGRANGE, GA 30240(706) 882-8971(706) 882-8991 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Care Of Lagrange, Llc NPPES

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

MEDICAL CARE OF LAGRANGE, LLC (NPI 1104002799) is a healthcare organization registered as an internal medicine in Lagrange, Georgia and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Debbie Morris, Business Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1104002799
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL CARE OF LAGRANGE, LLC
Location Address300 MEDICAL DR, SUITE 701Lagrange, GA 30240-4130
Mailing Address300 Medical Drive, Suite 701Lagrange, GA 30240 · (706) 882-8971 · Fax (706) 882-8991
Fax(706) 882-8991
Organization SubpartNo
Authorized OfficialDebbie MorrisBusiness Office Mgr · (706) 882-8971
Enumeration DateJanuary 14, 2008
Last NPPES UpdateMarch 4, 2008
NPI 1104002799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 048066
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

300 MEDICAL DR, Lagrange, GA 30240

Other Identifiers 3

Medicaid00843873GGA
Medicare OSCAR/certification511G700125GA
Medicare UPINH07176GA

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

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 11D1083567

Medical Care Of Lagrange LLC · Lagrange, GA
Active · expires May 5, 2028
CLIA Number11D1083567
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorAnil R. Modi
Laboratory Phone(706) 882-8971
Laboratory LocationMedical Care Of Lagrange LLC300 Medical Drive Suite 701, Lagrange, GA 30240
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 16

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

Psychologist
300 MEDICAL DR, STE 705
LAGRANGE, GA 30240
Psychiatry & Neurology (Neurology)
300 MEDICAL DR, SUITE 701
LAGRANGE, GA 30240
Specialist
300 MEDICAL DR, SUITE 705
LAGRANGE, GA 30240
Counselor (Mental Health)
300 MEDICAL DR, M. DIANNE WAGES, LPC
LAGRANGE, GA 30240
Psychiatry & Neurology (Neurology)
300 MEDICAL DR, SUITE 701
LAGRANGE, GA 30240
Counselor (Professional)
300 MEDICAL DR, STE 705
LAGRANGE, GA 30240
Internal Medicine
300 MEDICAL DR, SUITE 701
LAGRANGE, GA 30240
Psychiatry & Neurology (Psychiatry)
300 MEDICAL DR, SUITE 705
LAGRANGE, GA 30240

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 Medical Care Of Lagrange, LLC's NPI number?

The NPI number for Medical Care Of Lagrange, LLC is 1104002799. It was assigned to this organization in the NPPES registry on January 14, 2008.

Where is Medical Care Of Lagrange, LLC located?

Medical Care Of Lagrange, LLC is located at 300 Medical Dr Suite 701, Lagrange, GA 30240. The listed phone number is (706) 882-8971.

What is Medical Care Of Lagrange, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Medical Care Of Lagrange, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1083567) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Care Of Lagrange, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medical Care Of Lagrange, 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 Medical Care Of Lagrange, LLC was last updated on March 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.