LAKE ACWORTH FAMILY PRACTICE
NPI 1386052736
Clinic/Center - Primary Care in Acworth, GA

Active since July 30, 2014CLIA 11D2091783 · Waiver
5655 LAKE ACWORTH DR NW STE 120, ACWORTH, GA 30101(770) 702-8408 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Acworth Family Practice NPPES

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

LAKE ACWORTH FAMILY PRACTICE (NPI 1386052736) is a healthcare organization registered as a primary care in Acworth, Georgia and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Naomi W Muhia, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1386052736
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKE ACWORTH FAMILY PRACTICE
Location Address5655 LAKE ACWORTH DR NW STE 120Acworth, GA 30101-7324
Mailing Address5655 Lake Acworth Dr Nw Ste 120Acworth, GA 30101-7324 · (770) 702-8408
Organization SubpartNo
Authorized OfficialNaomi W MuhiaNurse Practitioner · (404) 353-6317
Enumeration DateJuly 30, 2014
Last NPPES UpdateMarch 19, 2015
NPI 1386052736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · RN16397
5655 LAKE ACWORTH DR NW STE 120, Acworth, GA 30101

Accepted 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 11D2091783

Lake Acworth Family Practice · Acworth, GA
Active · expires Feb 18, 2027
CLIA Number11D2091783
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorPete Muthoga
Laboratory Phone(404) 353-6317
Laboratory LocationLake Acworth Family Practice5655 Lake Ackworth Dr Suite 120, Acworth, GA 30101
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 2

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

Home Health
5655 LAKE ACWORTH DR NW STE 120
ACWORTH, GA 30101
Nurse Practitioner (Family)
5655 LAKE ACWORTH DR NW STE 120
ACWORTH, GA 30101

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 Lake Acworth Family Practice's NPI number?

The NPI number for Lake Acworth Family Practice is 1386052736. It was assigned to this organization in the NPPES registry on July 30, 2014.

Where is Lake Acworth Family Practice located?

Lake Acworth Family Practice is located at 5655 Lake Acworth Dr NW Ste 120, Acworth, GA 30101. The listed phone number is (770) 702-8408.

What is Lake Acworth Family Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lake Acworth Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2091783) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Acworth Family Practice accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lake Acworth Family Practice 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 Lake Acworth Family Practice was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.