MEDICAL CENTER FAMILY PRACTICE
NPI 1104025717
Family Medicine in Commerce, GA

Active since July 13, 2007CLIA 11D0703812 · Waiver
45 MEDICAL CENTER CT, COMMERCE, GA 30529(706) 335-5155(706) 335-5256 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Medical Center Family Practice NPPES

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

MEDICAL CENTER FAMILY PRACTICE (NPI 1104025717) is a healthcare organization registered as a family medicine in Commerce, Georgia and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Robert Marshburn, President, as its authorized official.

NPPES Registry Identity

NPI1104025717
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL CENTER FAMILY PRACTICE
Location Address45 MEDICAL CENTER CTCommerce, GA 30529-1085
Mailing Address45 Medical Center CtCommerce, GA 30529-1085 · (706) 335-5155 · Fax (706) 335-5256
Fax(706) 335-5256
Organization SubpartNo
Authorized OfficialRobert MarshburnPresident · (706) 335-5155
Enumeration DateJuly 13, 2007
NPI 1104025717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 030139
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.

45 MEDICAL CENTER CT, Commerce, GA 30529

Other Identifiers 3

Medicaid00410484AGA
Medicare PIN08BDBLQGA
OtherD46015GA · Upin

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 11D0703812

Medical Center Family Practice PC · Commerce, GA
Active · expires Aug 31, 2026
CLIA Number11D0703812
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJoe L. Griffeth MD
Laboratory Phone(706) 335-5155
Laboratory LocationMedical Center Family Practice PC45 Medical Center Court, Commerce, GA 30529
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

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

Family Medicine
45 MEDICAL CENTER CT
COMMERCE, GA 30529

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 Center Family Practice's NPI number?

The NPI number for Medical Center Family Practice is 1104025717. It was assigned to this organization in the NPPES registry on July 13, 2007.

Where is Medical Center Family Practice located?

Medical Center Family Practice is located at 45 Medical Center Ct, Commerce, GA 30529. The listed phone number is (706) 335-5155.

What is Medical Center Family Practice's specialty?

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

Does Medical Center Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0703812) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Center Family Practice accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medical Center Family Practice 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 Center Family Practice was last updated on July 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.