CLINICA FAMILIAR Y PRENATAL
NPI 1336651702
Family Medicine in Riverdale, GA

Q: What is Clinica Familiar Y Prenatal's NPI number?

The NPI number for Clinica Familiar Y Prenatal is 1336651702. It was assigned to this organization in the NPPES registry on October 25, 2017.

Q: What is Clinica Familiar Y Prenatal's specialty?

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

Active since October 25, 2017CLIA 11D2144493 · Waiver

155 MEDICAL WAY STE B, RIVERDALE, GA 30274(678) 755-5334(404) 529-4430 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clinica Familiar Y Prenatal NPPES

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

CLINICA FAMILIAR Y PRENATAL (NPI 1336651702) is a healthcare organization registered as a family medicine in Riverdale, Georgia and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Bridgette Hannigan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336651702

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCLINICA FAMILIAR Y PRENATAL

Location Address155 MEDICAL WAY STE BRiverdale, GA 30274-4940

Mailing Address155 Medical Way Ste BRiverdale, GA 30274-4940 · (678) 755-5334 · Fax (404) 529-4430

Phone(678) 755-5334

Fax(404) 529-4430

Organization SubpartNo

Authorized OfficialBridgette HanniganAdministrator · (678) 755-5334

Enumeration DateOctober 25, 2017

✔ NPI 1336651702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · RN120872

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.

155 MEDICAL WAY STE B, Riverdale, GA 30274

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2144493

Clinica Familiar Y Prenatal · Riverdale, GA

Active · expires Feb 18, 2028

CLIA Number11D2144493

Laboratory TypePhysician Office

Certificate Effective DateFebruary 19, 2026

Certificate Expiration DateFebruary 18, 2028

Laboratory DirectorMary I. Ejifoma

Laboratory Phone(770) 599-7258

Laboratory LocationClinica Familiar Y Prenatal155 Medical Way, Suite B, Riverdale, GA 30274

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 Clinica Familiar Y Prenatal's NPI number?

The NPI number for Clinica Familiar Y Prenatal is 1336651702. It was assigned to this organization in the NPPES registry on October 25, 2017.

Where is Clinica Familiar Y Prenatal located?

Clinica Familiar Y Prenatal is located at 155 Medical Way Ste B, Riverdale, GA 30274. The listed phone number is (678) 755-5334.

What is Clinica Familiar Y Prenatal's specialty?

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

Does Clinica Familiar Y Prenatal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2144493) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinica Familiar Y Prenatal accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Clinica Familiar Y Prenatal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinica Familiar Y Prenatal was last updated on October 25, 2017. 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.