CLINIC KLINIC
NPI 1134793102
Clinic/Center - Primary Care in Marietta, GA
About Clinic Klinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINIC KLINIC (NPI 1134793102) is a healthcare organization registered as a primary care in Marietta, Georgia and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Jean M. Lominy, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinic Klinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinic Klinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 of Waiver 11D2221676
Clinic Klinic · Marietta, 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 Clinic Klinic's NPI number?
The NPI number for Clinic Klinic is 1134793102. It was assigned to this organization in the NPPES registry on May 14, 2021.
Where is Clinic Klinic located?
Clinic Klinic is located at 1750 Powder Springs Rd SW Ste 510, Marietta, GA 30064. The listed phone number is (770) 875-8889.
What is Clinic Klinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Clinic Klinic enrolled in Medicare?
Yes. Clinic Klinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clinic Klinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clinic Klinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clinic Klinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2221676) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Clinic Klinic accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Clinic Klinic 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 Clinic Klinic was last updated on November 16, 2021. 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.
# Clinic Klinic · NPI 1134793102
Primary Care organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since May 14, 2021.
## Identity
- **NPI:** 1134793102 (Entity type: Organization)
- **Enumerated:** May 14, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jean Lominy, MANAGER
## Practice location
- **Address:** 1750 POWDER SPRINGS RD SW STE 510, Marietta, GA 30064-4849
- **Phone:** (770) 875-8889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134793102) · Data from the CMS NPPES public registry.