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DOWNTOWN MEDICAL CLINIC, LLC
NPI 1376237354
Family Medicine in Dublin, GA

Active since June 05, 2023CLIA 11D2314430 · Waiver
124 W MADISON ST STE D, DUBLIN, GA 31021(478) 304-0606(888) 375-3879 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2024, Oct 6, 2023, Jun 5, 2023 (3 updates tracked since 2023).

About Downtown Medical Clinic, Llc NPPES

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

DOWNTOWN MEDICAL CLINIC, LLC (NPI 1376237354), doing business as Glam Town Medical & Spa Llc, is a healthcare organization registered as a family medicine in Dublin, Georgia and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Ronda Joy Cochran, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376237354
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOWNTOWN MEDICAL CLINIC, LLC
Location Address124 W MADISON ST STE DDublin, GA 31021-5180
Mailing Address124 W Madison St Ste DDublin, GA 31021-5180 · (478) 304-0606 · Fax (888) 375-3879
Phone(478) 304-0606
Fax(888) 375-3879
Organization SubpartNo
Authorized OfficialRonda Joy CochranAdministrator · (478) 304-0606
Enumeration DateJune 5, 2023
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1376237354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
124 W MADISON ST STE D, Dublin, GA 31021
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Other Names 1

Former Legal Business NameGlam Town Medical & Spa Llc

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

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 11D2314430

Downtown Medical Clinic · Dublin, GA
Active · expires Nov 19, 2026
CLIA Number11D2314430
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorRonda J. Thomas
Laboratory Phone(478) 304-0606
Laboratory LocationDowntown Medical Clinic124 West Madison Street, Dublin, GA 31021
CLIA data matches this NPI record on: Address Name 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 Downtown Medical Clinic, LLC's NPI number?

The NPI number for Downtown Medical Clinic, LLC is 1376237354. It was assigned to this organization in the NPPES registry on June 5, 2023. The provider was formerly known as Glam Town Medical & Spa LLC.

Where is Downtown Medical Clinic, LLC located?

Downtown Medical Clinic, LLC is located at 124 W Madison St Ste D, Dublin, GA 31021. The listed phone number is (478) 304-0606.

What is Downtown Medical Clinic, LLC's specialty?

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

Does Downtown Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2314430) is associated with this NPI, valid through November 19, 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 Downtown Medical Clinic, LLC was last updated on July 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.