BERKELEY FAMILY MEDICINE ASSOCIATES, LLC
NPI 1346428372
Family Medicine in Duluth, GA

Active since January 31, 2008CLIA 11D1088875 · Waiver
3800 PLEASANT HILL RD, SUITE 5, DULUTH, GA 30096(770) 622-2566(770) 622-0828 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Berkeley Family Medicine Associates, Llc NPPES

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

BERKELEY FAMILY MEDICINE ASSOCIATES, LLC (NPI 1346428372) is a healthcare organization registered as a family medicine in Duluth, Georgia and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through September 7, 2028 and lists Shirley Zhang Young, Officer, as its authorized official.

NPPES Registry Identity

NPI1346428372
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBERKELEY FAMILY MEDICINE ASSOCIATES, LLC
Location Address3800 PLEASANT HILL RD, SUITE 5Duluth, GA 30096-1428
Mailing Address3800 Pleasant Hill Rd, Suite 5Duluth, GA 30096-1428 · (770) 622-2566 · Fax (770) 622-0828
Fax(770) 622-0828
Organization SubpartNo
Authorized OfficialShirley Zhang YoungOfficer · (770) 622-2566
Enumeration DateJanuary 31, 2008
Last NPPES UpdateSeptember 17, 2013
✔ NPI 1346428372 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 · 060342
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.
3800 PLEASANT HILL RD, Duluth, GA 30096

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Berkeley Family Medicine Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Berkeley Family Medicine Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1558547968
3800 PLEASANT HILL RD SUITE 5
Duluth, GA 30096
(770) 622-2566
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D1088875

Berkeley Family Medicine Associates · Duluth, GA
Active · expires Sep 7, 2028
CLIA Number11D1088875
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorShirley Z. Young
Laboratory Phone(770) 622-2256
Laboratory LocationBerkeley Family Medicine Associates3800 Pleasant Hill Rd Suite 5, Duluth, GA 30096
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 Berkeley Family Medicine Associates, LLC's NPI number?

The NPI number for Berkeley Family Medicine Associates, LLC is 1346428372. It was assigned to this organization in the NPPES registry on January 31, 2008.

Where is Berkeley Family Medicine Associates, LLC located?

Berkeley Family Medicine Associates, LLC is located at 3800 Pleasant Hill Rd Suite 5, Duluth, GA 30096. The listed phone number is (770) 622-2566.

What is Berkeley Family Medicine Associates, LLC's specialty?

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

Is Berkeley Family Medicine Associates, LLC enrolled in Medicare?

Yes. Berkeley Family Medicine Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Berkeley Family Medicine Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Berkeley Family Medicine Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Berkeley Family Medicine Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1088875) is associated with this NPI, valid through September 7, 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 Berkeley Family Medicine Associates, LLC was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.