BALD RIDGE FAMILY PRACTICE LLC
NPI 1437932019
Family Medicine in Cumming, GA

Q: What is Bald Ridge Family Practice LLC's NPI number?

The NPI number for Bald Ridge Family Practice LLC is 1437932019. It was assigned to this organization in the NPPES registry on August 16, 2023.

Q: What is Bald Ridge Family Practice LLC's specialty?

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

Active since August 16, 2023CLIA Certified · 2 labs

1230 BALD RIDGE MARINA RD STE 400, CUMMING, GA 30041(470) 826-1905(470) 826-3334 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Bald Ridge Family Practice Llc NPPES

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

BALD RIDGE FAMILY PRACTICE LLC (NPI 1437932019) is a healthcare organization registered as a family medicine in Cumming, Georgia and active in the NPI registry since August 2023. The organization holds 2 active CLIA laboratory certificates and lists Sheba Naqvi, Manager, as its authorized official.

NPPES Registry Identity

NPI1437932019

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBALD RIDGE FAMILY PRACTICE LLC

Location Address1230 BALD RIDGE MARINA RD STE 400Cumming, GA 30041-7859

Mailing Address1230 Bald Ridge Marina Rd Ste 400Cumming, GA 30041-7859

Phone(470) 826-1905

Fax(470) 826-3334

Organization SubpartNo

Authorized OfficialSheba NaqviManager · (678) 640-1650

Enumeration DateAugust 16, 2023

Last NPPES UpdateAugust 18, 2023

NPPES CertifiedAugust 18, 2023

✔ NPI 1437932019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1230 BALD RIDGE MARINA RD STE 400, Cumming, GA 30041

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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)

Bald Ridge Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bald Ridge Family Practice LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Sheba Naqvi, MD

Family Practice

NPI 1093001018

1230 BALD RIDGE MARINA RD STE 400
Cumming, GA 30041

(470) 826-1905

✔ PECOS✔ Accepts MedicareSame address

Kelly Karson, FNP-C

Family Practice

NPI 1164372843

200 S ENOTA DR NE STE 100
Gainesville, GA 30501

(770) 219-9000

✔ PECOS18 mi

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 2

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 11D2298047

Bald Ridge Family Practice, LLC · Cumming, GA

Active · expires Jan 25, 2028

CLIA Number11D2298047

Laboratory TypePhysician Office

Certificate Effective DateJanuary 26, 2026

Certificate Expiration DateJanuary 25, 2028

Laboratory DirectorSheba Naqvi

Laboratory Phone(470) 826-1905

Laboratory LocationBald Ridge Family Practice, LLC1230 Bald Ridge Marina Road, Suite 400, Cumming, GA 30041

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2337314

Bald Ridge Family Practice, LLC · Lawrenceville, GA

Active · expires Jan 20, 2028

CLIA Number11D2337314

Laboratory TypePhysician Office

Certificate Effective DateJanuary 21, 2026

Certificate Expiration DateJanuary 20, 2028

Laboratory DirectorSheba Naqvi

Laboratory Phone(470) 826-1905

Laboratory LocationBald Ridge Family Practice, LLC2775 Cruse Road, Suite NW, Suite 2101, Lawrenceville, GA 30044

CLIA data matches this NPI record on: 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 Bald Ridge Family Practice LLC's NPI number?

The NPI number for Bald Ridge Family Practice LLC is 1437932019. It was assigned to this organization in the NPPES registry on August 16, 2023.

Where is Bald Ridge Family Practice LLC located?

Bald Ridge Family Practice LLC is located at 1230 Bald Ridge Marina Rd Ste 400, Cumming, GA 30041. The listed phone number is (470) 826-1905.

What is Bald Ridge Family Practice LLC's specialty?

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

Is Bald Ridge Family Practice LLC enrolled in Medicare?

Yes. Bald Ridge Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bald Ridge Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Bald Ridge Family Practice LLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bald Ridge Family Practice LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bald Ridge Family Practice LLC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.