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REAGAN MEDICAL CENTER
NPI 1467771832
Specialist in Johns Creek, GA

Active since May 25, 2010CLIA 11D2045835 · Waiver
10160 MEDLOCK BRIDGE RD, SUITE 100, JOHNS CREEK, GA 30097(678) 344-8700(678) 344-8600 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reagan Medical Center NPPES

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

REAGAN MEDICAL CENTER (NPI 1467771832) is a healthcare organization registered as a specialist in Johns Creek, Georgia and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Satish Poddar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467771832
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameREAGAN MEDICAL CENTER
Location Address10160 MEDLOCK BRIDGE RD, SUITE 100Johns Creek, GA 30097-4419
Mailing Address2878 Five Forks Trickum Rd, Suite 2aLawrenceville, GA 30044-5896 · (678) 344-8700 · Fax (678) 344-8600
Phone(678) 344-8700
Fax(678) 344-8600
Organization SubpartYes
Authorized OfficialSatish PoddarCeo · (678) 344-8700
Enumeration DateMay 25, 2010
Last NPPES UpdateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1467771832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10160 MEDLOCK BRIDGE RD, Johns Creek, GA 30097
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 11D2045835

Reagan Medical Center · Johns Creek, GA
Active · expires Apr 22, 2027
CLIA Number11D2045835
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorSatish Poddar
Laboratory Phone(678) 387-1600
Laboratory LocationReagan Medical Center10160 Medlock Bridge Road, Suite 100, Johns Creek, GA 30097
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

THERASPORT PHYSICAL THERAPY INC.
Clinic/Center (Physical Therapy)
10160 MEDLOCK BRIDGE RD, STE B
JOHNS CREEK, GA 30097
Gwinnett County (678) 584-1622
DIABETES AND HYPERTENSION CENTER
Clinic/Center
10160 MEDLOCK BRIDGE RD, SUITE #100
DULUTH, GA 30097
Gwinnett County (770) 495-0011
MR. STEPHEN NICHOLAS ARROYO PT ATC
Physical Therapist
10160 MEDLOCK BRIDGE RD, STE B
JOHNS CREEK, GA 30097
Gwinnett County (678) 584-1622
ATLANTA URGENT CARE CLINIC
Clinic/Center (Urgent Care)
10160 MEDLOCK BRIDGE RD, STE 200
JOHNS CREEK, GA 30097
Gwinnett County (770) 495-0011
NEELA R BAKANE MD
Family Medicine
10160 MEDLOCK BRIDGE RD, SUIE 100
JOHNS CREEK, GA 30097
Gwinnett County (678) 387-1600
CIMARRON PHYSICAL THERAPY INC
Clinic/Center (Physical Therapy)
10160 MEDLOCK BRIDGE RD, STE B
JOHNS CREEK, GA 30097
Gwinnett County (678) 584-1622

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 Reagan Medical Center's NPI number?

The NPI number for Reagan Medical Center is 1467771832. It was assigned to this organization in the NPPES registry on May 25, 2010.

Where is Reagan Medical Center located?

Reagan Medical Center is located at 10160 Medlock Bridge Rd Suite 100, Johns Creek, GA 30097. The listed phone number is (678) 344-8700.

What is Reagan Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Reagan Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2045835) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reagan Medical Center was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.