ATHENS NEIGHBORHOOD DIAGNOSTIC CENTER
NPI 1104285659
Clinic/Center - Federally Qualified Health Center (FQHC) in Athens, GA

Q: What is Athens Neighborhood Diagnostic Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since February 12, 2016CLIA 11D1051471 · Microscopy

675 COLLEGE AVE, ATHENS, GA 30601(706) 546-5526(706) 546-5867 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2018, Feb 12, 2016 (2 updates tracked since 2016).

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About Athens Neighborhood Diagnostic Center NPPES

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

ATHENS NEIGHBORHOOD DIAGNOSTIC CENTER (NPI 1104285659) is a healthcare organization registered as a federally qualified health center (fqhc) in Athens, Georgia and active in the NPI registry since February 2016. The organization holds a CLIA Microscopy certificate valid through January 14, 2028, maintains a secondary practice location in Athens, and lists Almena Smith, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1104285659

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameATHENS NEIGHBORHOOD DIAGNOSTIC CENTER

Location Address675 COLLEGE AVEAthens, GA 30601

Mailing AddressP O Box 147Athens, GA 30603-1442 · (706) 850-9041

Phone(706) 546-5526

Fax(706) 546-5867

Organization SubpartNo

Authorized OfficialAlmena SmithBilling Manager · (706) 850-9041

Enumeration DateFebruary 12, 2016

Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration

✔ NPI 1104285659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 29631 (GA)

675 COLLEGE AVE, Athens, GA 30601

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Secondary Practice Location 1

Location 13320 Old Jefferson Rd Ste 300AAthens, GA 30607-1442 · Phone (706) 850-9041

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 11D1051471

Athens Neighborhood Health Center · Athens, GA

Active · expires Jan 14, 2028

CLIA Number11D1051471

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJanuary 15, 2026

Certificate Expiration DateJanuary 14, 2028

Laboratory DirectorKenny H. Esho

Laboratory Phone(706) 546-5526

Laboratory LocationAthens Neighborhood Health Center675 College Avenue, Athens, GA 30601

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

DR. KENNY H ESHO M.D.

Pediatrics