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SOUTHERN MEDICAL CLINIC, LLC
NPI 1184975278
Internal Medicine in Stockbridge, GA

Active since September 28, 2012CLIA 11D2118849 · Waiver
5329 N HENRY BLVD, STOCKBRIDGE, GA 30281(404) 761-1550(404) 761-1558 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Medical Clinic, Llc NPPES

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

SOUTHERN MEDICAL CLINIC, LLC (NPI 1184975278) is a healthcare organization registered as an internal medicine in Stockbridge, Georgia and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Chirag R. Patel, President, as its authorized official.

NPPES Registry Identity

NPI1184975278
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN MEDICAL CLINIC, LLC
Location Address5329 N HENRY BLVDStockbridge, GA 30281-3224
Mailing Address5329 N Henry BlvdStockbridge, GA 30281-3224
Phone(404) 761-1550
Fax(404) 761-1558
Organization SubpartNo
Authorized OfficialChirag R. PatelPresident · (404) 761-1550
Enumeration DateSeptember 28, 2012
✔ NPI 1184975278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 45908
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.
5329 N HENRY BLVD, Stockbridge, GA 30281
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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

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 11D2118849

Southern Medical Clinic,llc · Stockbridge, GA
Active · expires Sep 14, 2026
CLIA Number11D2118849
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorChirag R. Patel
Laboratory Phone(678) 289-9988
Laboratory LocationSouthern Medical Clinic,llc5329 North Henry Blvd, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CHIRAG R PATEL M.D.
Internal Medicine
5329 N HENRY BLVD
STOCKBRIDGE, GA 30281
Henry County (678) 289-9988
SOUTHERN MEDICAL CLINIC LLC
Internal Medicine
5329 N HENRY BLVD
STOCKBRIDGE, GA 30281
Henry County (678) 289-9988

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 Southern Medical Clinic, LLC's NPI number?

The NPI number for Southern Medical Clinic, LLC is 1184975278. It was assigned to this organization in the NPPES registry on September 28, 2012.

Where is Southern Medical Clinic, LLC located?

Southern Medical Clinic, LLC is located at 5329 N Henry Blvd, Stockbridge, GA 30281. The listed phone number is (404) 761-1550.

What is Southern Medical Clinic, LLC's specialty?

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

Does Southern Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2118849) is associated with this NPI, valid through September 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Medical Clinic, LLC was last updated on September 28, 2012. 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.