GOOD SAMARITAN HEALTH CENTER
NPI 1255831293
Clinic/Center - Primary Care in Norcross, GA

Active since February 16, 2018CLIA 11D1041978 · Waiver
4864 JIMMY CARTER BLVD, NORCROSS, GA 30093(678) 280-6630 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Good Samaritan Health Center NPPES

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

GOOD SAMARITAN HEALTH CENTER (NPI 1255831293), doing business as Bridge Atlanta Medical Center, is a healthcare organization registered as a primary care in Norcross, Georgia and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Gregory Lang, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255831293
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGOOD SAMARITAN HEALTH CENTER
Location Address4864 JIMMY CARTER BLVDNorcross, GA 30093-3701
Mailing Address5949 Buford HwyNorcross, GA 30071-2472
Organization SubpartYesParent: Good Samaritan Health Center Of Gwinnett
Authorized OfficialGregory LangExecutive Director · (678) 280-6630
Enumeration DateFebruary 16, 2018
NPI 1255831293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4864 JIMMY CARTER BLVD, Norcross, GA 30093

Other Names 1

Former Legal Business NameBridge Atlanta Medical Center

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 11D1041978

Good Samaritan Health Center Of Gwinnett · Norcross, GA
Active · expires Dec 8, 2026
CLIA Number11D1041978
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorShameka Allen
Laboratory Phone(678) 280-6630
Laboratory LocationGood Samaritan Health Center Of Gwinnett5949 Buford Highway, Norcross, GA 30071
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
4864 JIMMY CARTER BLVD, #203
NORCROSS, GA 30093

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 Good Samaritan Health Center's NPI number?

The NPI number for Good Samaritan Health Center is 1255831293. It was assigned to this organization in the NPPES registry on February 16, 2018. The provider was formerly known as Bridge Atlanta Medical Center.

Where is Good Samaritan Health Center located?

Good Samaritan Health Center is located at 4864 Jimmy Carter Blvd, Norcross, GA 30093. The listed phone number is (678) 280-6630.

What is Good Samaritan Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Good Samaritan Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1041978) is associated with this NPI, valid through December 8, 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 Good Samaritan Health Center was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.