NORCROSS MEDICAL CLINIC, MAGNOLIA MEDICAL CLINIC
NPI 1184711517
Internal Medicine in Norcross, GA

Active since October 06, 2006CLIA 11D0958058 · Waiver
1235 INDIAN TRAIL ROAD, SUITE 200, NORCROSS, GA 30093(770) 931-1333(770) 931-3111 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Norcross Medical Clinic, Magnolia Medical Clinic NPPES

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

NORCROSS MEDICAL CLINIC, MAGNOLIA MEDICAL CLINIC (NPI 1184711517) is a healthcare organization registered as an internal medicine in Norcross, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Suresh H Shah, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1184711517
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAGNOLIA MEDICAL CLINIC, P.C.
Location Address1235 INDIAN TRAIL ROAD, SUITE 200Norcross, GA 30093
Mailing AddressPo Box 1553Duluth, GA 30096 · (770) 931-1333 · Fax (770) 931-3111
Fax(770) 931-3111
Organization SubpartNo
Authorized OfficialSuresh H ShahOwner/physician · (770) 931-1333
Enumeration DateOctober 6, 2006
Last NPPES UpdateMay 28, 2015
NPI 1184711517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedFamily MedicineTaxonomy 207Q00000X
1235 INDIAN TRAIL ROAD, Norcross, GA 30093

Other Names 1

Other NameNorcross Medical Clinic, Magnolia Medical Clinic

Other Identifiers 1

Medicare PINGRP1910

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

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 11D0958058

Magnolia Medical Clinic · Norcross, GA
Active · expires Mar 9, 2027
CLIA Number11D0958058
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorDr. Suresh H. Shah
Laboratory Phone(770) 931-1333
Laboratory LocationMagnolia Medical Clinic1235 Indian Trail Road, Norcross, GA 30093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Medical Clinic, P.C.'s NPI number?

The NPI number for Magnolia Medical Clinic, P.C. is 1184711517. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider is also known as Norcross Medical Clinic, Magnolia Medical Clinic.

Where is Magnolia Medical Clinic, P.C. located?

Magnolia Medical Clinic, P.C. is located at 1235 Indian Trail Road Suite 200, Norcross, GA 30093. The listed phone number is (770) 931-1333.

What is Magnolia Medical Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Magnolia Medical Clinic, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0958058) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magnolia Medical Clinic, P.C. 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 Magnolia Medical Clinic, P.C. 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 Medical Clinic, P.C. was last updated on May 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.