FAMILY CARE CLINIC P.C.
NPI 1245406438
Clinic/Center in Norcross, GA

NPI Status: Active since May 07, 2008

Contact Information

3985 STEVE REYNOLDS BLVD
BUILDING I
NORCROSS, GA
ZIP 30093
Phone: (770) 622-3948
Fax: (770) 622-4879

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 11D1031245
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 09-26-2026

About FAMILY CARE CLINIC P.C.

This page provides the complete NPI Profile along with additional information for Family Care Clinic P.c., a provider established in Norcross, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245406438 assigned on May 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 048628 (GA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Family Care Clinic P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Nino Renzo Fornasini M.d. (Physician/owner)

NPI
1245406438
Provider Name
FAMILY CARE CLINIC P.C.
Entity Type
Organization
Location Address
3985 STEVE REYNOLDS BLVD BUILDING I NORCROSS, GA 30093
Location Phone
(770) 622-3948
Location Fax
(770) 622-4879
Mailing Address
3985 STEVE REYNOLDS BLVD BUILDING I NORCROSS, GA 30093
Mailing Phone
(770) 622-3948
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2008
Last Update Date
08-09-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
048628
License State
GA
Taxonomy Description
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. NINO RENZO FORNASINI M.D.

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(770) 622-3948

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000879755AMEDICAID (05)GA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1031245
Facility Type
Practitioner Other
Certificate Effective Date
September 27, 2024
Certificate Expiration Date
September 26, 2026
Laboratory Director
NINO FORNASINI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Family Care Clinic P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FAMILY CARE CLINIC P.C.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245406438, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 8 + 0 + 1 + 2 + 4 + 6 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1245406438.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Family Medicine
3985 STEVE REYNOLDS BLVD, SUITE K 102
NORCROSS, GA 30093
Family Medicine
3985 STEVE REYNOLDS BLVD, SUITE K-102
NORCROSS, GA 30093
Counselor (Professional)
3985 STEVE REYNOLDS BLVD, BLDG B SUITE A
NORCROSS, GA 30093
Physical Therapist
3985 STEVE REYNOLDS BLVD, BLD G
NORCROSS, GA 30093
Dentist (General Practice)
3985 STEVE REYNOLDS BLVD, BUILDING O, SUITE 101
NORCROSS, GA 30093
Physical Therapist
3985 STEVE REYNOLDS BLVD, BLDG G.
NORCROSS, GA 30093
Dentist (General Practice)
3985 STEVE REYNOLDS BLVD, BUILDING O, SUITE 101
NORCROSS, GA 30093
Family Medicine
3985 STEVE REYNOLDS BLVD, SUITE K 102
NORCROSS, GA 30093
Family Medicine
3985 STEVE REYNOLDS BLVD, SUITE K102
NORCROSS, GA 30093
Community/Behavioral Health
3985 STEVE REYNOLDS BLVD, BLDG B SUITE A
NORCROSS, GA 30093
Speech-Language Pathologist
3985 STEVE REYNOLDS BLVD, BLDG G
NORCROSS, GA 30093
Physical Therapy Assistant
3985 STEVE REYNOLDS BLVD, BLDG G
NORCROSS, GA 30093
Speech-Language Pathologist
3985 STEVE REYNOLDS BLVD, BLDG G
NORCROSS, GA 30093
Occupational Therapist
3985 STEVE REYNOLDS BLVD, BLD G
NORCROSS, GA 30093
Occupational Therapist
3985 STEVE REYNOLDS BLVD, BLD G
NORCROSS, GA 30093
Physical Therapist
3985 STEVE REYNOLDS BLVD, BLDG G
NORCROSS, GA 30093
Speech-Language Pathologist
3985 STEVE REYNOLDS BLVD, BUILDING G
NORCROSS, GA 30093
Speech-Language Pathologist
3985 STEVE REYNOLDS BLVD, BUILDING G
NORCROSS, GA 30093
Physician Assistant
3985 STEVE REYNOLDS BLVD, SUITE K102
NORCROSS, GA 30093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245406438, enumerated as an "organization" on May 07, 2008.

The provider is located at 3985 STEVE REYNOLDS BLVD BUILDING I NORCROSS, GA 30093 and the phone number is (770) 622-3948.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.