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OPTIMAL PERFORMANCE MEDICINE LLC
NPI 1346755386
Internal Medicine in Woodstock, GA

Active since December 13, 2017CLIA 11D2144678 · Waiver
120 STONEBRIDGE PKWY STE 430, WOODSTOCK, GA 30189(678) 250-0700(678) 250-0701 Get Directions Write a Review

NPPES record last updated: December 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Optimal Performance Medicine Llc NPPES

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

OPTIMAL PERFORMANCE MEDICINE LLC (NPI 1346755386) is a healthcare organization registered as an internal medicine in Woodstock, Georgia and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Michael George Skardasis, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1346755386
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOPTIMAL PERFORMANCE MEDICINE LLC
Location Address120 STONEBRIDGE PKWY STE 430Woodstock, GA 30189-3769
Mailing Address210 Brook Valley DrRoswell, GA 30075-2356 · (770) 842-9405 · Fax (678) 250-0701
Phone(678) 250-0700
Fax(678) 250-0701
Organization SubpartNo
Authorized OfficialMichael George SkardasisPractice Owner · (678) 250-0700
Enumeration DateDecember 13, 2017
✔ NPI 1346755386 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.

120 STONEBRIDGE PKWY STE 430, Woodstock, GA 30189
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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 11D2144678

Optimal Performance Medicine, LLC · Woodstock, GA
Active · expires Feb 20, 2028
CLIA Number11D2144678
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorMichael G. Skardasis
Laboratory Phone(678) 205-0700
Laboratory LocationOptimal Performance Medicine, LLC120 Stonebridge Parkway, Suite 430, Woodstock, GA 30189
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 Optimal Performance Medicine LLC's NPI number?

The NPI number for Optimal Performance Medicine LLC is 1346755386. It was assigned to this organization in the NPPES registry on December 13, 2017.

Where is Optimal Performance Medicine LLC located?

Optimal Performance Medicine LLC is located at 120 Stonebridge Pkwy Ste 430, Woodstock, GA 30189. The listed phone number is (678) 250-0700.

What is Optimal Performance Medicine LLC's specialty?

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

Does Optimal Performance Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2144678) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optimal Performance Medicine LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Optimal Performance Medicine 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 Optimal Performance Medicine LLC was last updated on December 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.