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CHRIST THE KING MEDICAL CENTER
NPI 1477789477
Internal Medicine in Loganville, GA

Active since June 04, 2009CLIA 11D1104864 · Waiver
3531-3533 HIGHWAY 81 SOUTH, LOGANVILLE, GA 30052(770) 554-2555 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Christ The King Medical Center NPPES

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

CHRIST THE KING MEDICAL CENTER (NPI 1477789477) is a healthcare organization registered as an internal medicine in Loganville, Georgia and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Constance George-adebayo, Physician, as its authorized official.

NPPES Registry Identity

NPI1477789477
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHRIST THE KING HEALTHCARE PC
Location Address3531-3533 HIGHWAY 81 SOUTHLoganville, GA 30052
Mailing Address3531-3533 Highway 81 SouthLoganville, GA 30052
Phone(770) 554-2555
Organization SubpartYes
Authorized OfficialConstance George-adebayoPhysician · (770) 554-2555
Enumeration DateJune 4, 2009
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1477789477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 060582
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3531-3533 HIGHWAY 81 SOUTH, Loganville, GA 30052
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Other Names 1

Doing Business AsChrist The King Medical Center

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christ The King Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Christ The King Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Constance George Adebayo, MD
Internal Medicine
NPI 1114195302
3531-3533 HIGHWAY 81 SOUTH
Loganville, GA 30052
(770) 554-2555
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D1104864

Christ The King Healthcare · Loganville, GA
Active · expires Sep 10, 2027
CLIA Number11D1104864
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorConstance O. George-Adebayo
Laboratory Phone(770) 554-8015
Laboratory LocationChrist The King Healthcare3531 Highway 81 South, Loganville, GA 30052
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Christ The King Healthcare PC's NPI number?

The NPI number for Christ The King Healthcare PC is 1477789477. It was assigned to this organization in the NPPES registry on June 4, 2009. The provider is doing business as Christ The King Medical Center.

Where is Christ The King Healthcare PC located?

Christ The King Healthcare PC is located at 3531-3533 Highway 81 South, Loganville, GA 30052. The listed phone number is (770) 554-2555.

What is Christ The King Healthcare PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Christ The King Healthcare PC enrolled in Medicare?

Yes. Christ The King Healthcare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Christ The King Healthcare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Christ The King Healthcare PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Christ The King Healthcare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1104864) is associated with this NPI, valid through September 10, 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 Christ The King Healthcare PC was last updated on April 23, 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.