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MDVIP MEDICAL GROUP GA-ATL
NPI 1154859817
Internal Medicine in Atlanta, GA

Active since May 25, 2017CLIA 11D2096914 · Waiver
1800 HOWELL MILL RD NW STE 525, ATLANTA, GA 30318(404) 537-8081(404) 367-3085 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2023, Feb 20, 2023, Dec 9, 2020 and 1 more (4 updates tracked since 2017).

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 Andrea Klemes, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1154859817
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMDVIP MEDICAL GROUP GA-ATL
Location Address1800 HOWELL MILL RD NW STE 525Atlanta, GA 30318-2538
Mailing Address1800 Howell Mill Rd Nw Ste 525Atlanta, GA 30318-3188 · (404) 537-8081 · Fax (404) 367-3085
Phone(404) 537-8081
Fax(404) 367-3085
Organization SubpartYesParent: Mdvip Medical Group Holdings, Llc
Authorized OfficialAndrea KlemesChief Medical Officer · (561) 982-4300
Enumeration DateMay 25, 2017
Last NPPES UpdateMarch 21, 20234 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1154859817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1800 HOWELL MILL RD NW STE 525, Atlanta, GA 30318
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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, GA
Active · expires Jun 2, 2027
CLIA Number11D2096914
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorAdrian C. Douglass
Laboratory Phone(404) 537-8081
Laboratory LocationMdvip Medical Group - Buckhead1800 Howell Mill Road, NW, Suite 650, Atlanta, GA 30318
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

BROOKS SMITH LIDE III M.D.
Internal Medicine
1800 HOWELL MILL RD NW STE 525
ATLANTA, GA 30318
Fulton County (043) 003-4944
DR. REGINALD STEPHEN FOWLER M.D.
Internal Medicine
1800 HOWELL MILL RD NW STE 525
ATLANTA, GA 30318
Fulton County (404) 300-3494
DR. KARL DANNEHL M.D.
Internal Medicine
1800 HOWELL MILL RD NW STE 525
ATLANTA, GA 30318
Fulton County (404) 367-3070
DR. WYMAN SLOAN M.D.
Internal Medicine
1800 HOWELL MILL RD NW STE 525
ATLANTA, GA 30318
Fulton County (404) 300-3494

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 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.

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 March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.