STEWART FAMILY PRACTICE, PC
NPI 1184964967
Family Medicine in Tucker, GA
About Stewart Family Practice, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEWART FAMILY PRACTICE, PC (NPI 1184964967) is a healthcare organization registered as a family medicine in Tucker, Georgia and active in the NPI registry since February 2013. The organization holds a CLIA Microscopy certificate valid through October 3, 2027 and lists Deborah Stewart, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stewart Family Practice, Pc 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 Stewart Family Practice, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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) 11D0992003
Stewart Family Practice, PC · Tucker, 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 Stewart Family Practice, PC's NPI number?
The NPI number for Stewart Family Practice, PC is 1184964967. It was assigned to this organization in the NPPES registry on February 15, 2013.
Where is Stewart Family Practice, PC located?
Stewart Family Practice, PC is located at 4500 Hugh Howell Rd Ste 220, Tucker, GA 30084. The listed phone number is (770) 469-0668.
What is Stewart Family Practice, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stewart Family Practice, PC enrolled in Medicare?
Yes. Stewart Family Practice, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stewart Family Practice, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Stewart Family Practice, PC. 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 Stewart Family Practice, PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0992003) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Stewart Family Practice, PC was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Stewart Family Practice, Pc · NPI 1184964967
Family Medicine organization in Tucker, Georgia. Organization record, active in the CMS NPPES registry since February 15, 2013.
## Identity
- **NPI:** 1184964967 (Entity type: Organization)
- **Enumerated:** February 15, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Deborah Stewart, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 4500 HUGH HOWELL RD, STE 220, Tucker, GA 30084-4723
- **Phone:** (770) 469-0668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2013
- **Other identifiers:** Other 3891011 (GA); Medicaid 000723863F (GA); Other 52650560002 (GA); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184964967) · Data from the CMS NPPES public registry.