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STONE MOUNTAIN FAMILY MEDICINE PC
NPI 1194283689
Family Medicine in Stone Mountain, GA

Active since March 04, 2019CLIA 11D0855841 · Waiver
1183 S HAIRSTON RD STE A, STONE MOUNTAIN, GA 30088(404) 296-8858(404) 296-5599 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stone Mountain Family Medicine Pc NPPES

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

STONE MOUNTAIN FAMILY MEDICINE PC (NPI 1194283689) is a healthcare organization registered as a family medicine in Stone Mountain, Georgia and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Rhoit M Desai, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1194283689
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTONE MOUNTAIN FAMILY MEDICINE PC
Location Address1183 S HAIRSTON RD STE AStone Mountain, GA 30088-2796
Mailing Address1183 S Hairston Rd Ste AStone Mountain, GA 30088-2796 · (404) 296-8858 · Fax (404) 296-5599
Phone(404) 296-8858
Fax(404) 296-5599
Organization SubpartNo
Authorized OfficialRhoit M DesaiProvider/owner · (404) 296-8858
Enumeration DateMarch 4, 2019
✔ NPI 1194283689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1183 S HAIRSTON RD STE A, Stone Mountain, GA 30088
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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 11D0855841

Stone Mountain Family Medicine · Stone Mountain, GA
Active · expires Jan 18, 2027
CLIA Number11D0855841
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorRohit M. Desai
Laboratory Phone(404) 296-8858
Laboratory LocationStone Mountain Family Medicine1183 A S Hairston Road, Stone Mountain, GA 30088
CLIA data matches this NPI record on: Name Phone
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.

SHERRIE MELTON
Nurse Practitioner (Family)
1183 S HAIRSTON RD STE A
STONE MOUNTAIN, GA 30088
Dekalb County (404) 296-8858
EDWIGE GOBY KONWO-TAYO
Nurse Practitioner (Family)
1183 S HAIRSTON RD STE A
STONE MOUNTAIN, GA 30088
Dekalb County (404) 296-8858

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 Stone Mountain Family Medicine PC's NPI number?

The NPI number for Stone Mountain Family Medicine PC is 1194283689. It was assigned to this organization in the NPPES registry on March 4, 2019.

Where is Stone Mountain Family Medicine PC located?

Stone Mountain Family Medicine PC is located at 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088. The listed phone number is (404) 296-8858.

What is Stone Mountain Family Medicine PC's specialty?

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

Does Stone Mountain Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0855841) is associated with this NPI, valid through January 18, 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 Stone Mountain Family Medicine PC was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.