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AG FAMILY MEDICINE, PC
NPI 1174783435
Clinic/Center - Primary Care in Duluth, GA

Active since June 11, 2008CLIA 11D2067820 · Waiver
3590 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30096(770) 614-9799(770) 614-9789 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ag Family Medicine, Pc NPPES

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

AG FAMILY MEDICINE, PC (NPI 1174783435) is a healthcare organization registered as a primary care in Duluth, Georgia and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Chang Soo Kim, President, as its authorized official.

NPPES Registry Identity

NPI1174783435
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAG FAMILY MEDICINE, PC
Location Address3590 PEACHTREE INDUSTRIAL BLVDDuluth, GA 30096-4817
Mailing Address3590 Peachtree Industrial BlvdDuluth, GA 30096-4817 · (770) 614-9799 · Fax (770) 614-9789
Phone(770) 614-9799
Fax(770) 614-9789
Organization SubpartNo
Authorized OfficialChang Soo KimPresident · (770) 614-9799
Enumeration DateJune 11, 2008
Last NPPES UpdateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1174783435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 59806
3590 PEACHTREE INDUSTRIAL BLVD, Duluth, GA 30096
Open in Google Maps ↗

Other Identifiers 1

Medicaid868452174AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 11D2067820

Ag Family Medicine, PC · Duluth, GA
Active · expires Oct 22, 2027
CLIA Number11D2067820
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorChang Soo Kim
Laboratory Phone(770) 614-9799
Laboratory LocationAg Family Medicine, PC3590 Peachtree Industrial Blvd, Duluth, GA 30096
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

NANYOUNG PARK ANP-BC
Clinical Nurse Specialist (Adult Health)
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Gwinnett County (770) 614-9799
YOUNG D KIM APRN
Nurse Practitioner (Family)
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Gwinnett County (770) 614-9799
JUNGAH SEO FNP-C
Nurse Practitioner (Family)
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Gwinnett County (770) 614-9799
WONJIN RHI NP-C
Nurse Practitioner (Family)
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Gwinnett County (770) 614-9799
DR. CHANG SOO KIM MD
Family Medicine
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Gwinnett County (770) 614-9799
SEUNG JUNG LEE AGNP-C
Nurse Practitioner (Primary Care)
3590 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Gwinnett County (770) 614-9799

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 Ag Family Medicine, PC's NPI number?

The NPI number for Ag Family Medicine, PC is 1174783435. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is Ag Family Medicine, PC located?

Ag Family Medicine, PC is located at 3590 Peachtree Industrial Blvd, Duluth, GA 30096. The listed phone number is (770) 614-9799.

What is Ag Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Ag Family Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2067820) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ag Family Medicine, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Ag Family Medicine, PC 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 Ag Family Medicine, PC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.