NORTH FULTON INTERNAL MEDICINE GROUP
NPI 1396708087
Clinic/Center - Primary Care in Roswell, GA

Active since April 11, 2006CLIA 11D0688425 · Microscopy
2500 HOSPITAL BLVD, SUITE 250, ROSWELL, GA 30076(770) 442-1111(770) 740-2990 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Fulton Internal Medicine Group NPPES

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

NORTH FULTON INTERNAL MEDICINE GROUP (NPI 1396708087) is a healthcare organization registered as a primary care in Roswell, Georgia and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through September 1, 2026 and lists Charity Q Boulton, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1396708087
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTH FULTON INTERNAL MEDICINE GROUP
Location Address2500 HOSPITAL BLVD, SUITE 250Roswell, GA 30076-4907
Mailing Address2500 Hospital Blvd, Suite 250Roswell, GA 30076-4907 · (770) 442-1111 · Fax (770) 740-2990
Fax(770) 740-2990
Organization SubpartNo
Authorized OfficialCharity Q BoultonPractice Administrator · (770) 442-1111
Enumeration DateApril 11, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1396708087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2500 HOSPITAL BLVD, Roswell, GA 30076

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0688425

North Fulton Internal Medical Group PC · Roswell, GA
Active · expires Sep 1, 2026
CLIA Number11D0688425
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorRobert F. Egan MD
Laboratory Phone(770) 442-1111
Laboratory LocationNorth Fulton Internal Medical Group PC2500 Hospital Blvd Ste 250, Roswell, GA 30076
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

Neurological Surgery
2500 HOSPITAL BLVD, STE 310
ROSWELL, GA 30076
Obstetrics & Gynecology
2500 HOSPITAL BLVD, SUITE 290
ROSWELL, GA 30076
Ophthalmology
2500 HOSPITAL BLVD, SUITE 100
ROSWELL, GA 30076
Specialist
2500 HOSPITAL BLVD, SUITE 450
ROSWELL, GA 30076
Ophthalmology
2500 HOSPITAL BLVD, SUITE 115
ROSWELL, GA 30076
Physician Assistant (Medical)
2500 HOSPITAL BLVD, SUITE 250
ROSWELL, GA 30076
Specialist
2500 HOSPITAL BLVD, SUITE 450
ROSWELL, GA 30076
Physical Medicine & Rehabilitation (Pain Medicine)
2500 HOSPITAL BLVD, SUITE 150
ROSWELL, GA 30076

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 North Fulton Internal Medicine Group's NPI number?

The NPI number for North Fulton Internal Medicine Group is 1396708087. It was assigned to this organization in the NPPES registry on April 11, 2006.

Where is North Fulton Internal Medicine Group located?

North Fulton Internal Medicine Group is located at 2500 Hospital Blvd Suite 250, Roswell, GA 30076. The listed phone number is (770) 442-1111.

What is North Fulton Internal Medicine Group's specialty?

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

Does North Fulton Internal Medicine Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0688425) is associated with this NPI, valid through September 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Fulton Internal Medicine Group accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list North Fulton Internal Medicine Group 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 North Fulton Internal Medicine Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.