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TRI COUNTY INTERNAL MEDICINE, PC
NPI 1528097318
Internal Medicine in Sugar Hill, GA

Active since July 02, 2006CLIA 11D0705754 · Microscopy
4720 NELSON BROGDON BLVD, SUGAR HILL, GA 30518(770) 945-1990(678) 745-4139 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tri County Internal Medicine, Pc NPPES

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

TRI COUNTY INTERNAL MEDICINE, PC (NPI 1528097318) is a healthcare organization registered as an internal medicine in Sugar Hill, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 10, 2027 and lists Susan D Coker, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1528097318
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRI COUNTY INTERNAL MEDICINE, PC
Location Address4720 NELSON BROGDON BLVDSugar Hill, GA 30518-3480
Mailing Address4720 Nelson Brogdon BlvdSugar Hill, GA 30518-3480 · (770) 945-1990 · Fax (678) 745-4139
Phone(770) 945-1990
Fax(678) 745-4139
Organization SubpartNo
Authorized OfficialSusan D CokerPractice Administrator · (770) 945-1990
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 18, 2008
✔ NPI 1528097318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
4720 NELSON BROGDON BLVD, Sugar Hill, GA 30518
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Other Identifiers 2

Medicare ID-Type UnspecifiedGRP4153GA · Medicare Group Number
Medicare NSC4338490001GA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri County Internal Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Tri County Internal Medicine, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Christopher Borrego, D.O.
Internal Medicine
NPI 1811999543
4720 NELSON BROGDON BLVD
Sugarhill, GA 30518
(770) 945-1990
✔ PECOS✔ Accepts MedicareSame address
Melissa Schweiker, NP-C
Nurse Practitioner
NPI 1528408598
4720 NELSON BROGDON BLVD
Buford, GA 30518
(770) 945-1990
✔ PECOSSame address
Robert Dambach, D.O.
Internal Medicine
NPI 1538161252
4720 NELSON BROGDON BLVD
Sugarhill, GA 30518
(770) 945-1990
✔ PECOS✔ Accepts MedicareSame address
Jorge Montero, FNP
Nurse Practitioner
NPI 1457022147
4720 NELSON BROGDON BLVD
Buford, GA 30518
(770) 945-1990
✔ PECOS✔ Accepts MedicareSame address
Mary Ostaszewski, FNP-C
Nurse Practitioner
NPI 1003013236
4720 NELSON BROGDON BLVD
Sugar Hill, GA 30518
(770) 945-1990
✔ 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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0705754

Tri-County Internal Medicine PC · Sugar Hill, GA
Active · expires Sep 10, 2027
CLIA Number11D0705754
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorRobert T. Dambach Do
Laboratory Phone(770) 945-1990
Laboratory LocationTri-County Internal Medicine PC4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2156378

Tri County Internal Medicine, PC · Buford, GA
Expired · Oct 16, 2026
CLIA Number11D2156378
Laboratory TypeIndependent
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorRobert T. Dambach
Laboratory Phone(770) 945-1990
Laboratory LocationTri County Internal Medicine, PC4465 Nelson Brogdon Boulevard, Buford, GA 30518
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Tri County Internal Medicine, PC's NPI number?

The NPI number for Tri County Internal Medicine, PC is 1528097318. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Tri County Internal Medicine, PC located?

Tri County Internal Medicine, PC is located at 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518. The listed phone number is (770) 945-1990.

What is Tri County Internal Medicine, PC's specialty?

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

Is Tri County Internal Medicine, PC enrolled in Medicare?

Yes. Tri County Internal Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri County Internal Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Tri County Internal Medicine, 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. The largest specialties are Nurse Practitioner (3) and Internal Medicine (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri County Internal Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0705754) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri County Internal Medicine, PC accept?

Health plans from Alliant Health Plans, Inc. list Tri County Internal Medicine, PC 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 Tri County Internal Medicine, PC was last updated on April 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.