NORTH FULTON INTERNAL MEDICINE GROUP
NPI 1396708087
Clinic/Center - Primary Care in Roswell, GA
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, 2028 and lists Charity Q Boulton, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Fulton Internal Medicine Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to North Fulton Internal Medicine Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 for Provider-Performed Microscopy Procedures (PPMP) 11D0688425
North Fulton Internal Medical Group PC · Roswell, GAFrequently 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.
Is North Fulton Internal Medicine Group enrolled in Medicare?
Yes. North Fulton Internal Medicine Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Fulton Internal Medicine Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to North Fulton Internal Medicine Group. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# North Fulton Internal Medicine Group · NPI 1396708087
Primary Care organization in Roswell, Georgia. Organization record, active in the CMS NPPES registry since April 11, 2006.
## Identity
- **NPI:** 1396708087 (Entity type: Organization)
- **Enumerated:** April 11, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Charity Boulton, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 2500 HOSPITAL BLVD, SUITE 250, Roswell, GA 30076-4907
- **Phone:** (770) 442-1111 · **Fax:** (770) 740-2990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396708087) · Data from the CMS NPPES public registry.