MEDICAL CARE OF GEORGIA, P.C.
NPI 1124297163
Clinic/Center - Medical Specialty in Canton, GA

Active since February 25, 2008CLIA 11D1082656 · Waiver
50 MEDICAL LN, CANTON, GA 30114(770) 345-2300(770) 345-2330 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Care Of Georgia, P.c. NPPES

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

MEDICAL CARE OF GEORGIA, P.C. (NPI 1124297163) is a healthcare organization registered as a medical specialty in Canton, Georgia and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Alexander Tkeshelashvili Kessler, President, as its authorized official.

NPPES Registry Identity

NPI1124297163
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMEDICAL CARE OF GEORGIA, P.C.
Location Address50 MEDICAL LNCanton, GA 30114-2417
Mailing Address50 Medical LnCanton, GA 30114-2417 · (770) 345-2300 · Fax (770) 345-2330
Fax(770) 345-2330
Organization SubpartNo
Authorized OfficialAlexander Tkeshelashvili KesslerPresident · (770) 345-2300
Enumeration DateFebruary 25, 2008
Last NPPES UpdateNovember 16, 2015
NPI 1124297163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in GA · 050647
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 050647 (GA)
50 MEDICAL LN, Canton, GA 30114

Other Identifiers 2

Medicaid000958009BGA
Medicare UPINH61089GA

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 11D1082656

Medical Care Of Georgia PC · Canton, GA
Active · expires Apr 15, 2028
CLIA Number11D1082656
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorAlexander T. Kessler
Laboratory Phone(770) 345-2300
Laboratory LocationMedical Care Of Georgia PC50 Medical Lane, Canton, GA 30114
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Georgia, P.C.'s NPI number?

The NPI number for Medical Care Of Georgia, P.C. is 1124297163. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Medical Care Of Georgia, P.C. located?

Medical Care Of Georgia, P.C. is located at 50 Medical Ln, Canton, GA 30114. The listed phone number is (770) 345-2300.

What is Medical Care Of Georgia, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Medical Care Of Georgia, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1082656) is associated with this NPI, valid through April 15, 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 Medical Care Of Georgia, P.C. was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.