EXCELSIOR HEALTHCARE CORP, PC
NPI 1477310118
Family Medicine in Norcross, GA

Active since February 29, 2024CLIA Certified · 4 labs
777 W PEACHTREE ST, NORCROSS, GA 30071(770) 246-6100 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Excelsior Healthcare Corp, Pc NPPES

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

EXCELSIOR HEALTHCARE CORP, PC (NPI 1477310118) is a healthcare organization registered as a family medicine in Norcross, Georgia and active in the NPI registry since February 2024. The organization holds 4 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Steven He, Vice President, as its authorized official.

NPPES Registry Identity

NPI1477310118
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEXCELSIOR HEALTHCARE CORP, PC
Location Address777 W PEACHTREE STNorcross, GA 30071-1868
Mailing Address777 W Peachtree StNorcross, GA 30071 · (770) 246-6100 · Fax (770) 246-6142
Organization SubpartNo
Authorized OfficialSteven HeVice President · (770) 246-6100
Enumeration DateFebruary 29, 2024
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1477310118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
777 W PEACHTREE ST, Norcross, GA 30071

Secondary Practice Locations 4

Location 14855 River Green Pkwy Ste 520Duluth, GA 30096-8337 · Phone (678) 417-1588
Location 211375 Southbridge PkwyAlpharetta, GA 30022-4618 · Phone (770) 203-0618
Location 3277 E Crogan StLawrenceville, GA 30046-5054 · Phone (770) 822-4411
Location 42805 Hamilton Mill RdBuford, GA 30519-4110 · Phone (678) 541-0588 · Fax (678) 541-0610

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

CLIA Laboratory Certificates CMS CLIA 4

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 11D2307209

Excelsior Healthcare LLC · Buford, GA
Active · expires Jul 2, 2028
CLIA Number11D2307209
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorPatrick K. Huynh
Laboratory Phone(678) 541-0588
Laboratory LocationExcelsior Healthcare LLC2805 Hamilton Mill Road, Buford, GA 30519
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 11D2344017

Excelsior Healthcare LLC · Duluth, GA
Active · expires May 14, 2028
CLIA Number11D2344017
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorAlice Wei You
Laboratory Phone(678) 417-1588
Laboratory LocationExcelsior Healthcare LLC4855 River Green Pkwy, Ste 520, Duluth, GA 30096
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 11D2344018

Excelsior Healthcare LLC · Norcross, GA
Active · expires May 14, 2028
CLIA Number11D2344018
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorChristine L. Bao
Laboratory Phone(770) 246-6100
Laboratory LocationExcelsior Healthcare LLC777 W Peachtree Street, Norcross, GA 30071
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 11D2006608

Excelsior Healthcare LLC · Lawrenceville, GA
Active · expires Apr 26, 2028
CLIA Number11D2006608
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorPatrick K. Huynh
Laboratory Phone(770) 822-4411
Laboratory LocationExcelsior Healthcare LLC277 E Crogan Street, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
777 W PEACHTREE ST
NORCROSS, GA 30071
Internal Medicine
777 W PEACHTREE ST
NORCROSS, GA 30071
Family Medicine
777 W PEACHTREE ST
NORCROSS, GA 30071
Nurse Practitioner
777 W PEACHTREE ST
NORCROSS, GA 30071
Family Medicine
777 W PEACHTREE ST
NORCROSS, GA 30071
Nurse Practitioner
777 W PEACHTREE ST
NORCROSS, GA 30071
Family Medicine
777 W PEACHTREE ST
NORCROSS, GA 30071
Family Medicine
777 W PEACHTREE ST
NORCROSS, GA 30071

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 Excelsior Healthcare Corp, PC's NPI number?

The NPI number for Excelsior Healthcare Corp, PC is 1477310118. It was assigned to this organization in the NPPES registry on February 29, 2024.

Where is Excelsior Healthcare Corp, PC located?

Excelsior Healthcare Corp, PC is located at 777 W Peachtree St, Norcross, GA 30071. The listed phone number is (770) 246-6100.

What is Excelsior Healthcare Corp, PC's specialty?

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

Does Excelsior Healthcare Corp, PC hold CLIA laboratory certificates?

Yes. 4 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 Excelsior Healthcare Corp, PC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.