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COVENANT FAMILY MEDICINE GMG LLC
NPI 1346595204
Family Medicine in Dacula, GA

Active since July 17, 2012CLIA 11D1065294 · Waiver
2098 TERON TRCE, SUITE 150, DACULA, GA 30019(678) 730-1620 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Covenant Family Medicine Gmg Llc NPPES

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

COVENANT FAMILY MEDICINE GMG LLC (NPI 1346595204) is a healthcare organization registered as a family medicine in Dacula, Georgia and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Steven A Rubin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1346595204
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOVENANT FAMILY MEDICINE GMG LLC
Location Address2098 TERON TRCE, SUITE 150Dacula, GA 30019-1663
Mailing Address2069 Teron Trce, Suite 100Dacula, GA 30019-1665 · (678) 730-1620
Phone(678) 730-1620
Organization SubpartYesParent: Gwinnett Medical Group
Authorized OfficialSteven A RubinExecutive Director · (470) 325-0150
Enumeration DateJuly 17, 2012
Last NPPES UpdateAugust 23, 2013
✔ NPI 1346595204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2098 TERON TRCE, Dacula, GA 30019
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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 11D1065294

Covenant Family Medicine Gmg, LLC · Dacula, GA
Active · expires Jun 5, 2027
CLIA Number11D1065294
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorDr. Zhoucheng S. Su
Laboratory Phone(678) 730-1620
Laboratory LocationCovenant Family Medicine Gmg, LLC2069 Teron Trace, Suite 100, Dacula, GA 30019
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SLEEP SERVICES OF AMERICA
Clinical Medical Laboratory
2098 TERON TRCE, SUITE 400
DACULA, GA 30019
Gwinnett County (404) 892-0308
DR. GEORGE QUINTERO D.D.S., P.C.
Dentist (Periodontics)
2098 TERON TRCE, SUITE 600
DACULA, GA 30019
Gwinnett County (770) 614-8823
HAMILTON MILL MEDICAL & PHYSICAL THERAPY
Preventive Medicine (Public Health & General Preventive Medicine)
2098 TERON TRCE, STE 300
DACULA, GA 30019
Gwinnett County (770) 614-4060
BENJAMIN CAUGHEY MITCHELL D.C.
Chiropractor (Rehabilitation)
2098 TERON TRCE, STE 300
DACULA, GA 30019
Gwinnett County (770) 614-4060
CHOICES GWINNETT, LLC
Community/Behavioral Health
2098 TERON TRCE, SUITE 300
DACULA, GA 30019
Gwinnett County (404) 431-9895
CORNERSTONE FAMILY PRACTICE, P.C.
Specialist
2098 TERON TRCE, SUITE 400
DACULA, GA 30019
Gwinnett County (770) 904-2112
NORTH GWINNETT PRIMARY CARE
Clinic/Center (Primary Care)
2098 TERON TRCE
DACULA, GA 30019
Gwinnett County (678) 714-2070
HENRY S MOON MD
Family Medicine
2098 TERON TRCE, STE150
DACULA, GA 30019
Gwinnett County (678) 730-1620

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 Covenant Family Medicine Gmg LLC's NPI number?

The NPI number for Covenant Family Medicine Gmg LLC is 1346595204. It was assigned to this organization in the NPPES registry on July 17, 2012.

Where is Covenant Family Medicine Gmg LLC located?

Covenant Family Medicine Gmg LLC is located at 2098 Teron Trce Suite 150, Dacula, GA 30019. The listed phone number is (678) 730-1620.

What is Covenant Family Medicine Gmg LLC's specialty?

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

Does Covenant Family Medicine Gmg LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1065294) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Covenant Family Medicine Gmg LLC was last updated on August 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.