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

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: August 16, 2026.

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
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

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

Accepted Insurance

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.

Other Providers at the Same Location NPPES

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

Family Medicine
1230 BALD RIDGE MARINA RD STE 400
CUMMING, GA 30041

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.

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.

What insurance does Bald Ridge Family Practice LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bald Ridge Family Practice LLC 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 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.