COMPREHENSIVE MEDICAL CLINIC LLC
NPI 1235835968
Clinic/Center in Norcross, GA

Q: What is Comprehensive Medical Clinic LLC's NPI number?

The NPI number for Comprehensive Medical Clinic LLC is 1235835968. It was assigned to this organization in the NPPES registry on February 3, 2023.

Q: What is Comprehensive Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since February 03, 2023

6131 S NORCROSS TUCKER RD STE 6, NORCROSS, GA 30093(470) 766-7246(770) 423-9503 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2024, Nov 8, 2023, Feb 3, 2023 (3 updates tracked since 2023).

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About Comprehensive Medical Clinic Llc NPPES

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

COMPREHENSIVE MEDICAL CLINIC LLC (NPI 1235835968) is a healthcare organization registered as a clinic/center in Norcross, Georgia and active in the NPI registry since February 2023. The organization maintains 3 additional practice locations and lists Thomas Vincent Moore, President, as its authorized official.

NPPES Registry Identity

NPI1235835968

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCOMPREHENSIVE MEDICAL CLINIC LLC

Location Address6131 S NORCROSS TUCKER RD STE 6Norcross, GA 30093-5536

Mailing Address6131 S Norcross Tucker Rd Ste 6Norcross, GA 30093-5536 · (470) 766-7246 · Fax (770) 423-9503

Phone(470) 766-7246

Fax(770) 423-9503

Organization SubpartNo

Authorized OfficialThomas Vincent MoorePresident · (404) 884-3321

Enumeration DateFebruary 3, 2023

Last NPPES UpdateOctober 24, 20253 updates tracked since enumeration

NPPES CertifiedOctober 24, 2025

✔ NPI 1235835968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6131 S NORCROSS TUCKER RD STE 6, Norcross, GA 30093

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Secondary Practice Locations 3

Location 13885 Princeton Lakes Way SW Ste 400Atlanta, GA 30331-5599 · Phone (470) 766-7246

Location 23433 Main StCollege Park, GA 30337-1911 · Phone (470) 766-7246

Location 31818 Forsyth St Ste 214Macon, GA 31201-1183 · Phone (770) 573-7246 · Fax (770) 679-8688

Other Providers at the Same Location NPPES 8

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

ERICA MARIA PENA PA-C

Physician Assistant