MERIDIAN INTERNAL MEDICINE AND PRIMARY CARE INC
NPI 1366795973
Internal Medicine in Atlanta, GA

Active since October 19, 2012CLIA 11D2051262 · Waiver
3890 REDWINE RD SW STE 210, ATLANTA, GA 30331(404) 691-6688 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Meridian Internal Medicine And Primary Care Inc NPPES

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

MERIDIAN INTERNAL MEDICINE AND PRIMARY CARE INC (NPI 1366795973) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Kay Olukayode Oso, Mgr, as its authorized official.

NPPES Registry Identity

NPI1366795973
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMERIDIAN INTERNAL MEDICINE AND PRIMARY CARE INC
Location Address3890 REDWINE RD SW STE 210Atlanta, GA 30331-5583
Mailing Address1029 N Peachtree Pkwy Ste 376Peachtree City, GA 30269-4210 · (404) 691-6688
Organization SubpartNo
Authorized OfficialKay Olukayode OsoMgr · (678) 485-5705
Enumeration DateOctober 19, 2012
Last NPPES UpdateNovember 14, 2012
✔ NPI 1366795973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 044049
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.
3890 REDWINE RD SW STE 210, Atlanta, GA 30331

Other Identifiers 2

Medicare UPING68297GA
Medicare PIN11BDWFT

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meridian Internal Medicine And Primary Care Inc 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 Meridian Internal Medicine And Primary Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1497898662
3890 REDWINE RD SW SUITE 210
Atlanta, GA 30331
(404) 691-6688
✔ 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 11D2051262

Meridian Internal Medicine & Primary Care Inc · Atlanta, GA
Active · expires Dec 16, 2026
CLIA Number11D2051262
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorKay Olukayode Oso
Laboratory Phone(404) 691-6688
Laboratory LocationMeridian Internal Medicine & Primary Care Inc3890 Redwine Road, SW, Atlanta, GA 30331
CLIA data matches this NPI record on: Address Phone
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 Meridian Internal Medicine And Primary Care Inc's NPI number?

The NPI number for Meridian Internal Medicine And Primary Care Inc is 1366795973. It was assigned to this organization in the NPPES registry on October 19, 2012.

Where is Meridian Internal Medicine And Primary Care Inc located?

Meridian Internal Medicine And Primary Care Inc is located at 3890 Redwine Rd SW Ste 210, Atlanta, GA 30331. The listed phone number is (404) 691-6688.

What is Meridian Internal Medicine And Primary Care Inc's specialty?

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

Is Meridian Internal Medicine And Primary Care Inc enrolled in Medicare?

Yes. Meridian Internal Medicine And Primary Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meridian Internal Medicine And Primary Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Meridian Internal Medicine And Primary Care Inc. 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 Meridian Internal Medicine And Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2051262) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Meridian Internal Medicine And Primary Care Inc was last updated on November 14, 2012. 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.