GEM PRIMARY HEALTHCARE, LLC.
NPI 1457072647
Clinic/Center - Primary Care in Stockbridge, GA

Q: What is Gem Primary Healthcare, LLC.'s NPI number?

The NPI number for Gem Primary Healthcare, LLC. is 1457072647. It was assigned to this organization in the NPPES registry on September 7, 2022.

Q: What is Gem Primary Healthcare, LLC.'s specialty?

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

Active since September 07, 2022CLIA 11D2277398 · Waiver

175 COUNTRY CLUB DR BLDG 100D, STOCKBRIDGE, GA 30281(678) 819-5497(678) 601-1508 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2023, Sep 7, 2022 (2 updates tracked since 2022).

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About Gem Primary Healthcare, Llc. NPPES

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

GEM PRIMARY HEALTHCARE, LLC. (NPI 1457072647) is a healthcare organization registered as a primary care in Stockbridge, Georgia and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Geraldine Eccleston Menchion, Np, as its authorized official.

NPPES Registry Identity

NPI1457072647

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameGEM PRIMARY HEALTHCARE, LLC.

Location Address175 COUNTRY CLUB DR BLDG 100DStockbridge, GA 30281-7380

Mailing Address175 Country Club Dr Bldg 100dStockbridge, GA 30281-7380 · (678) 819-5497 · Fax (678) 601-1508

Phone(678) 819-5497

Fax(678) 601-1508

Organization SubpartNo

Authorized OfficialGeraldine Eccleston MenchionNp · (404) 514-6066

Enumeration DateSeptember 7, 2022

Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration

NPPES CertifiedMarch 3, 2023

✔ NPI 1457072647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

175 COUNTRY CLUB DR BLDG 100D, Stockbridge, GA 30281

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 11D2277398

Gem Primary Healthcare, LLC · Stockbridge, GA

Active · expires Feb 26, 2027

CLIA Number11D2277398

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 27, 2025

Certificate Expiration DateFebruary 26, 2027

Laboratory DirectorGeraldine E. Menchion

Laboratory Phone(678) 819-5497

Laboratory LocationGem Primary Healthcare, LLC175 Country Club Drive, Building 100 D, Stockbridge, GA 30281

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.

GERALDINE ECCLESTON MENCHION FNP, BC

Nurse Practitioner (Family)

175 COUNTRY CLUB DR BLDG 100D
STOCKBRIDGE, GA 30281

Henry County (678) 819-5497

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 Gem Primary Healthcare, LLC.'s NPI number?

The NPI number for Gem Primary Healthcare, LLC. is 1457072647. It was assigned to this organization in the NPPES registry on September 7, 2022.

Where is Gem Primary Healthcare, LLC. located?

Gem Primary Healthcare, LLC. is located at 175 Country Club Dr Bldg 100D, Stockbridge, GA 30281. The listed phone number is (678) 819-5497.

What is Gem Primary Healthcare, LLC.'s specialty?

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

Does Gem Primary Healthcare, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2277398) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gem Primary Healthcare, LLC. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gem Primary Healthcare, 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 Gem Primary Healthcare, LLC. was last updated on March 3, 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.