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MAGNOLIA FAMILY MEDICINE
NPI 1174758023
Family Medicine in Chatsworth, GA

Active since May 21, 2009CLIA 11D1100394 · Microscopy
1111 HWY 76, CHATSWORTH, GA 30705(706) 695-5500(706) 695-5512 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Magnolia Family Medicine NPPES

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

MAGNOLIA FAMILY MEDICINE (NPI 1174758023) is a healthcare organization registered as a family medicine in Chatsworth, Georgia and active in the NPI registry since May 2009. The organization holds a CLIA Microscopy certificate valid through July 25, 2028 and lists Yara L Fattouh, M.d., as its authorized official.

NPPES Registry Identity

NPI1174758023
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGNOLIA FAMILY MEDICINE
Location Address1111 HWY 76Chatsworth, GA 30705
Mailing AddressP.o. Box 1383Chatsworth, GA 30705 · (706) 695-5500 · Fax (706) 695-5512
Phone(706) 695-5500
Fax(706) 695-5512
Organization SubpartNo
Authorized OfficialYara L FattouhM.d. · (706) 695-5500
Enumeration DateMay 21, 2009
Last NPPES UpdateJune 6, 2012
✔ NPI 1174758023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 053522
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1111 HWY 76, Chatsworth, GA 30705
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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)

Magnolia Family Medicine 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 Magnolia Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yara Fattouh, M.D.
Family Practice
NPI 1518953785
1111 HWY 76
Chatsworth, GA 30705
(706) 695-5500
✔ PECOS✔ Accepts MedicareSame address

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) 11D1100394

Magnolia Family Medicine · Chatsworth, GA
Active · expires Jul 25, 2028
CLIA Number11D1100394
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2026
Certificate Expiration DateJuly 25, 2028
Laboratory DirectorYara Fattouh
Laboratory Phone(706) 695-5500
Laboratory LocationMagnolia Family Medicine1111 Highway 76, Chatsworth, GA 30705
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Magnolia Family Medicine's NPI number?

The NPI number for Magnolia Family Medicine is 1174758023. It was assigned to this organization in the NPPES registry on May 21, 2009.

Where is Magnolia Family Medicine located?

Magnolia Family Medicine is located at 1111 Hwy 76, Chatsworth, GA 30705. The listed phone number is (706) 695-5500.

What is Magnolia Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Magnolia Family Medicine enrolled in Medicare?

Yes. Magnolia Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Magnolia Family Medicine. 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 Magnolia Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1100394) is associated with this NPI, valid through July 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magnolia Family Medicine accept?

Health plans from Alliant Health Plans, Inc. list Magnolia Family Medicine 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 Magnolia Family Medicine was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.