PURIFI CLINICS TELEMED, LLC
NPI 1467267666
Clinic/Center - Urgent Care in Suwanee, GA

Active since February 13, 2025CLIA 11D2246746 · Waiver
1500 PEACHTREE INDUSTRIAL BLVD STE 125, SUWANEE, GA 30024(470) 691-2508 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 11D2246746
  • CLIA Cert. Type: Other - WELLNESS CENTER
  • CLIA Exp. Date: 12-28-2027

About PURIFI CLINICS TELEMED, LLC

This page provides the complete NPI Profile along with additional information for Purifi Clinics Telemed, Llc, a provider established in Suwanee, Georgia operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1467267666 assigned on February 2025. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jeremy Nelson Md (Cmo)

NPI
1467267666 Verify this NPI
Provider Name
PURIFI CLINICS TELEMED, LLC
Entity Type
Organization
Location Address
1500 PEACHTREE INDUSTRIAL BLVD STE 125 SUWANEE, GA 30024
Location Phone
(470) 691-2508
Mailing Address
1500 PEACHTREE INDUSTRIAL BLVD STE 125 SUWANEE, GA 30024
Mailing Phone
(470) 691-2508
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2025
Last Update Date
02-13-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEREMY NELSON MD

Authorized Official Title
CMO
Authorized Official Phone
(470) 691-2508

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2246746
Facility Type
Other - WELLNESS CENTER
Certificate Effective Date
December 29, 2025
Certificate Expiration Date
December 28, 2027
Laboratory Director
JEREMY NELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Purifi Clinics Telemed, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467267666, enumerated as an "organization" on February 13, 2025.

The provider is located at 1500 PEACHTREE INDUSTRIAL BLVD STE 125 SUWANEE, GA 30024 and the phone number is (470) 691-2508.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.