MDVIP MEDICAL GROUP GA-ATL
NPI 1154859817
Internal Medicine in Atlanta, GA
About Mdvip Medical Group Ga-atl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MDVIP MEDICAL GROUP GA-ATL (NPI 1154859817) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Jeffrey Lin, Chief Medical Officer, 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)
Mdvip Medical Group Ga-atl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Mdvip Medical Group Ga-Atl, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Atlanta, GA 30318
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 11D2096914
Mdvip Medical Group - Buckhead · Atlanta, 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 Mdvip Medical Group Ga-Atl's NPI number?
The NPI number for Mdvip Medical Group Ga-Atl is 1154859817. It was assigned to this organization in the NPPES registry on May 25, 2017.
Where is Mdvip Medical Group Ga-Atl located?
Mdvip Medical Group Ga-Atl is located at 1800 Howell Mill Rd NW Ste 525, Atlanta, GA 30318. The listed phone number is (404) 537-8081.
What is Mdvip Medical Group Ga-Atl's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mdvip Medical Group Ga-Atl enrolled in Medicare?
Yes. Mdvip Medical Group Ga-Atl is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mdvip Medical Group Ga-Atl?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Mdvip Medical Group Ga-Atl. 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. The largest specialties are Internal Medicine (9) and Family Practice (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mdvip Medical Group Ga-Atl hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2096914) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mdvip Medical Group Ga-Atl accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mdvip Medical Group Ga-Atl 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 Mdvip Medical Group Ga-Atl was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Mdvip Medical Group Ga-Atl · NPI 1154859817
Internal Medicine organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since May 25, 2017.
## Identity
- **NPI:** 1154859817 (Entity type: Organization)
- **Enumerated:** May 25, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** Yes (part of Mdvip Medical Group Holdings, Llc)
- **Authorized official:** Jeffrey Lin, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 1800 HOWELL MILL RD NW STE 525, Atlanta, GA 30318-2538
- **Phone:** (404) 537-8081 · **Fax:** (404) 367-3085
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (9), Family Practice (1); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154859817) · Data from the CMS NPPES public registry.