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FAMILY WELLNESS MD
NPI 1275138349
Pediatrics in Duluth, GA

Active since December 04, 2020CLIA 11D2203624 · Waiver
3625 SAVANNAH PL STE 101A, DULUTH, GA 30096(770) 707-4018(770) 785-4488 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Wellness Md NPPES

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

FAMILY WELLNESS MD (NPI 1275138349) is a healthcare organization registered as a pediatrics in Duluth, Georgia and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through December 3, 2026 and lists Kimberly Hodge-spears, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1275138349
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGIM ENTERPRISES LLC
Location Address3625 SAVANNAH PL STE 101ADuluth, GA 30096-6376
Mailing Address3371 N Berkeley Lake Rd Nw Ste 101Berkeley Lake, GA 30096-4367 · (770) 707-4018 · Fax (770) 785-4488
Phone(770) 707-4018
Fax(770) 785-4488
Organization SubpartNo
Authorized OfficialKimberly Hodge-spearsPediatrician · (770) 707-4018
Enumeration DateDecember 4, 2020
Last NPPES UpdateApril 24, 2023
NPPES CertifiedDecember 9, 2020
✔ NPI 1275138349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3625 SAVANNAH PL STE 101A, Duluth, GA 30096
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Other Names 1

Doing Business AsFamily Wellness Md

Other Identifiers 3

Medicaid1174057335GA
Medicaid1689774382GA
Medicaid1083762025GA

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 11D2203624

Family Wellness MD · Duluth, GA
Active · expires Dec 3, 2026
CLIA Number11D2203624
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorKimberly N. Hodge-Spears
Laboratory Phone(770) 707-4018
Laboratory LocationFamily Wellness MD3625 Savannah Place, Suite 101a-B, Duluth, GA 30096
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gim Enterprises LLC's NPI number?

The NPI number for Gim Enterprises LLC is 1275138349. It was assigned to this organization in the NPPES registry on December 4, 2020. The provider is doing business as Family Wellness MD.

Where is Gim Enterprises LLC located?

Gim Enterprises LLC is located at 3625 Savannah Pl Ste 101A, Duluth, GA 30096. The listed phone number is (770) 707-4018.

What is Gim Enterprises LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Gim Enterprises LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2203624) is associated with this NPI, valid through December 3, 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 Gim Enterprises LLC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.