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NORTH CHATTAHOOCHEE FAMILY PHYSICIANS, LLC
NPI 1114041928
Family Medicine in Johns Creek, GA

Active since March 19, 2007CLIA 11D0928583 · Microscopy
11459 JOHNS CREEK PKWY, SUITE 250, JOHNS CREEK, GA 30097(770) 497-1555(770) 497-9998 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2022, May 23, 2019 (2 updates tracked since 2019).

About North Chattahoochee Family Physicians, Llc NPPES

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

NORTH CHATTAHOOCHEE FAMILY PHYSICIANS, LLC (NPI 1114041928) is a healthcare organization registered as a family medicine in Johns Creek, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through October 16, 2026 and lists Debra Collazo, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1114041928
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH CHATTAHOOCHEE FAMILY PHYSICIANS, LLC
Location Address11459 JOHNS CREEK PKWY, SUITE 250Johns Creek, GA 30097-3515
Mailing Address11459 Johns Creek Pkwy, Suite 250Johns Creek, GA 30097-3515 · (770) 497-1555 · Fax (770) 497-9998
Phone(770) 497-1555
Fax(770) 497-9998
Organization SubpartNo
Authorized OfficialDebra CollazoCredentialing Specialist · (770) 497-1555
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1114041928 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.

11459 JOHNS CREEK PKWY, Johns Creek, GA 30097
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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

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) 11D0928583

North Chattahoochee Family Physicians · Johns Creek, GA
Active · expires Oct 16, 2026
CLIA Number11D0928583
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorDr. Henry L. Gardiner III
Laboratory Phone(770) 497-1555
Laboratory LocationNorth Chattahoochee Family Physicians11459 Johns Creek Parkway, Suite 250, Johns Creek, GA 30097
CLIA data matches this NPI record on: Address Name 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 19

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

JOY PAGE N.P.
Nurse Practitioner (Family)
11459 JOHNS CREEK PKWY, SUITE 250
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-1555
JERRY YUAN M.D.
Urology
11459 JOHNS CREEK PKWY, SUITE 170
JOHNS CREEK, GA 30097
Gwinnett County (678) 417-0400
ATLANTA VISION INSTITUTE PC
Ophthalmology
11459 JOHNS CREEK PKWY
JOHNS CREEK, GA 30097
Gwinnett County (770) 622-2488
EHI PHARMACY SOLUTIONS, LLC.
Non-Pharmacy Dispensing Site
11459 JOHNS CREEK PKWY, STE. 260
JOHNS CREEK, GA 30097
Gwinnett County (770) 232-5030
SIVANIARAVINDAPRIYA NATTAMA DO
Psychiatry & Neurology (Psychiatry)
11459 JOHNS CREEK PKWY
JOHNS CREEK, GA 30097
Gwinnett County (770) 341-5553
DR. LISA LILLICH CULPEPPER MD
Family Medicine
11459 JOHNS CREEK PKWY, SUITE 250
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-1555
KATHERINE BLANCHARD SCHMITZ NP-C
Nurse Practitioner (Family)
11459 JOHNS CREEK PKWY
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-1555
DR. HENRY LAWRENCE GARDINER III MD
Family Medicine
11459 JOHNS CREEK PKWY, SUITE 250
JOHNS CREEK, GA 30097
Gwinnett County (770) 497-1555

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 North Chattahoochee Family Physicians, LLC's NPI number?

The NPI number for North Chattahoochee Family Physicians, LLC is 1114041928. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is North Chattahoochee Family Physicians, LLC located?

North Chattahoochee Family Physicians, LLC is located at 11459 Johns Creek Pkwy Suite 250, Johns Creek, GA 30097. The listed phone number is (770) 497-1555.

What is North Chattahoochee Family Physicians, LLC's specialty?

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

Does North Chattahoochee Family Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0928583) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Chattahoochee Family Physicians, LLC was last updated on April 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.