NORTH CHATTAHOOCHEE FAMILY PHYSICIANS, LLC
NPI 1114041928
Family Medicine in Johns Creek, GA
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, 2028 and lists Debra Collazo, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Chattahoochee Family Physicians, 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 North Chattahoochee Family Physicians, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 for Provider-Performed Microscopy Procedures (PPMP) 11D0928583
North Chattahoochee Family Physicians · Johns Creek, 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 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.
Is North Chattahoochee Family Physicians, LLC enrolled in Medicare?
Yes. North Chattahoochee Family Physicians, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Chattahoochee Family Physicians, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to North Chattahoochee Family Physicians, LLC. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# North Chattahoochee Family Physicians, Llc · NPI 1114041928
Family Medicine organization in Johns Creek, Georgia. Organization record, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1114041928 (Entity type: Organization)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Debra Collazo, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 11459 JOHNS CREEK PKWY, SUITE 250, Johns Creek, GA 30097-3515
- **Phone:** (770) 497-1555 · **Fax:** (770) 497-9998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114041928) · Data from the CMS NPPES public registry.