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FAMILY MEDICINE OF POOLER, LLC
NPI 1275848533
Clinic/Center - Primary Care in Pooler, GA

Active since August 11, 2010CLIA 11D2014321 · Waiver
433 US HIGHWAY 80 W, POOLER, GA 31322(912) 748-1100(912) 748-1004 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Family Medicine Of Pooler, Llc NPPES

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

FAMILY MEDICINE OF POOLER, LLC (NPI 1275848533) is a healthcare organization registered as a primary care in Pooler, Georgia and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Christi Marie Ghaleb, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1275848533
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILY MEDICINE OF POOLER, LLC
Location Address433 US HIGHWAY 80 WPooler, GA 31322-2509
Mailing Address433 Us Highway 80 WPooler, GA 31322-2509 · (912) 748-1100 · Fax (912) 748-1004
Phone(912) 748-1100
Fax(912) 748-1004
Organization SubpartNo
Authorized OfficialChristi Marie GhalebCo-owner · (912) 303-9907
Enumeration DateAugust 11, 2010
✔ NPI 1275848533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 056554
433 US HIGHWAY 80 W, Pooler, GA 31322
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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 11D2014321

Family Medicine Of Pooler, LLC · Pooler, GA
Active · expires Oct 5, 2026
CLIA Number11D2014321
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorPeter J. Ghaleb
Laboratory Phone(912) 748-1100
Laboratory LocationFamily Medicine Of Pooler, LLC433 Us Highway 80 Us, Pooler, GA 31322
CLIA data matches this NPI record on: 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.

CHRISTIANNA MARIE GHALEB M.D.
Family Medicine
433 US HIGHWAY 80 W
POOLER, GA 31322
Chatham County (912) 748-1100

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 Family Medicine Of Pooler, LLC's NPI number?

The NPI number for Family Medicine Of Pooler, LLC is 1275848533. It was assigned to this organization in the NPPES registry on August 11, 2010.

Where is Family Medicine Of Pooler, LLC located?

Family Medicine Of Pooler, LLC is located at 433 Us Highway 80 W, Pooler, GA 31322. The listed phone number is (912) 748-1100.

What is Family Medicine Of Pooler, LLC's specialty?

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

Does Family Medicine Of Pooler, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2014321) is associated with this NPI, valid through October 5, 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 Family Medicine Of Pooler, LLC was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.