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PEACHSTATE FAMILY CLINIC, LLC
NPI 1346754041
Family Medicine in Lilburn, GA

Active since November 17, 2017CLIA 11D2142054 · Waiver
4319 LAWRENCEVILLE HWY NW, LILBURN, GA 30047(678) 583-8888 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peachstate Family Clinic, Llc NPPES

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

PEACHSTATE FAMILY CLINIC, LLC (NPI 1346754041) is a healthcare organization registered as a family medicine in Lilburn, Georgia and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Changchun Wu, Physician, as its authorized official.

NPPES Registry Identity

NPI1346754041
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEACHSTATE FAMILY CLINIC, LLC
Location Address4319 LAWRENCEVILLE HWY NWLilburn, GA 30047-3416
Mailing Address4319 Lawrenceville Hwy NwLilburn, GA 30047-3416 · (678) 583-8888
Phone(678) 583-8888
Organization SubpartNo
Authorized OfficialChangchun WuPhysician · (678) 583-8888
Enumeration DateNovember 17, 2017
✔ NPI 1346754041 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 · 061537
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.
4319 LAWRENCEVILLE HWY NW, Lilburn, GA 30047
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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

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 11D2142054

Peachstate Family Clinic, LLC · Lilburn, GA
Active · expires Jan 2, 2028
CLIA Number11D2142054
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorChangchun Wu
Laboratory Phone(678) 583-8888
Laboratory LocationPeachstate Family Clinic, LLC4319 Lawrenceville Highway, Lilburn, GA 30047
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DRS. BARNETT, ANDERSEN, & ASSOCIATES, OPTOMETRIST, P.C.
Optometrist
4319 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Gwinnett County (770) 921-4707
DR. JOSEPH LEIF ANDERSEN OD
Optometrist
4319 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Gwinnett County (770) 921-4707
CHANGCHUN C WU MD
Family Medicine
4319 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Gwinnett County (678) 583-8888
LAUREN PATRICIA COLE
Nurse Practitioner (Family)
4319 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Gwinnett County (678) 583-8888
AMANDA R MOSSES FNP-C
Nurse Practitioner (Family)
4319 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Gwinnett County (678) 583-8888

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 Peachstate Family Clinic, LLC's NPI number?

The NPI number for Peachstate Family Clinic, LLC is 1346754041. It was assigned to this organization in the NPPES registry on November 17, 2017.

Where is Peachstate Family Clinic, LLC located?

Peachstate Family Clinic, LLC is located at 4319 Lawrenceville Hwy NW, Lilburn, GA 30047. The listed phone number is (678) 583-8888.

What is Peachstate Family Clinic, LLC's specialty?

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

Does Peachstate Family Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2142054) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peachstate Family Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Peachstate Family Clinic, LLC 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 Peachstate Family Clinic, LLC was last updated on November 17, 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.