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LUMENMED LLC
NPI 1295613693
Internal Medicine in Snellville, GA

Active since August 25, 2025CLIA 11D2343032 · Waiver
2138 SCENIC HWY N STE A, SNELLVILLE, GA 30078(678) 571-0899 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lumenmed Llc NPPES

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

LUMENMED LLC (NPI 1295613693) is a healthcare organization registered as an internal medicine in Snellville, Georgia and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Uday Tata, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1295613693
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLUMENMED LLC
Location Address2138 SCENIC HWY N STE ASnellville, GA 30078-6106
Mailing Address2138 Scenic Hwy N Ste ASnellville, GA 30078-6106 · (678) 571-0899
Phone(678) 571-0899
Organization SubpartNo
Authorized OfficialUday TataMedical Director · (678) 571-0899
Enumeration DateAugust 25, 2025
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1295613693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2138 SCENIC HWY N STE A, Snellville, GA 30078
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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 11D2343032

Lumenmed LLC · Snellville, GA
Active · expires Apr 29, 2028
CLIA Number11D2343032
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorUday Tata
Laboratory Phone(678) 404-8600
Laboratory LocationLumenmed LLC2138 Scenic Highway N, Suite A, Snellville, GA 30078
CLIA data matches this NPI record on: Address 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 Lumenmed LLC's NPI number?

The NPI number for Lumenmed LLC is 1295613693. It was assigned to this organization in the NPPES registry on August 25, 2025.

Where is Lumenmed LLC located?

Lumenmed LLC is located at 2138 Scenic Hwy N Ste A, Snellville, GA 30078. The listed phone number is (678) 571-0899.

What is Lumenmed LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lumenmed LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2343032) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lumenmed LLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.