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AMERICAN FAMILY CARE
NPI 1275300287
Family Medicine in Marietta, GA

Active since December 08, 2023CLIA Certified · 2 labs
1401 JOHNSON FERRY RD STE 390B, MARIETTA, GA 30062(470) 250-1492(470) 235-7311 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2024, Dec 8, 2023 (2 updates tracked since 2023).

About American Family Care NPPES

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

AMERICAN FAMILY CARE (NPI 1275300287) is a healthcare organization registered as a family medicine in Marietta, Georgia and active in the NPI registry since December 2023. The organization holds 2 active CLIA laboratory certificates and lists Leia Dawson, Medical Director/ Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1275300287
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOLD PRIMARY LLC
Location Address1401 JOHNSON FERRY RD STE 390BMarietta, GA 30062-6495
Mailing Address1401 Johnson Ferry Rd Ste 390bMarietta, GA 30062-6495 · (470) 250-1492 · Fax (470) 235-7311
Phone(470) 250-1492
Fax(470) 235-7311
Organization SubpartNo
Authorized OfficialLeia DawsonMedical Director/ Executive Officer · (470) 250-1492
Enumeration DateDecember 8, 2023
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1275300287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/CenterTaxonomy 261Q00000X
1401 JOHNSON FERRY RD STE 390B, Marietta, GA 30062
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Other Names 1

Doing Business AsAmerican Family Care

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 2

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 11D2287873

Quadrivium Health Dba American Family Care · Marietta, GA
Active · expires Aug 17, 2027
CLIA Number11D2287873
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorLeia C. Dawson
Laboratory Phone(470) 250-1492
Laboratory LocationQuadrivium Health Dba American Family Care1401 Johnson Ferry Road, Suite 390, Marietta, GA 30062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2069274

American Family Care - Marietta · Marietta, GA
Active · expires Aug 29, 2026
CLIA Number11D2069274
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorHeena Momin
Laboratory Phone(678) 348-5119
Laboratory LocationAmerican Family Care - Marietta3481 Ernest Barrett Parkway, SW, Marietta, GA 30064
CLIA data matches this NPI record on: Name
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 Bold Primary LLC's NPI number?

The NPI number for Bold Primary LLC is 1275300287. It was assigned to this organization in the NPPES registry on December 8, 2023. The provider is doing business as American Family Care.

Where is Bold Primary LLC located?

Bold Primary LLC is located at 1401 Johnson Ferry Rd Ste 390B, Marietta, GA 30062. The listed phone number is (470) 250-1492.

What is Bold Primary LLC's specialty?

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

Does Bold Primary LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bold Primary LLC was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.