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PREMIER FAMILY CLINIC
NPI 1528113107
Internal Medicine in Chamblee, GA

Active since January 24, 2007CLIA 11D1012176 · Waiver
3646 CHAMBLEE TUCKER RD STE B, CHAMBLEE, GA 30341(770) 493-6767(770) 493-6797 Get Directions Write a Review

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

About Premier Family Clinic NPPES

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

PREMIER FAMILY CLINIC (NPI 1528113107) is a healthcare organization registered as an internal medicine in Chamblee, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Nipun Patel, President, as its authorized official.

NPPES Registry Identity

NPI1528113107
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER FAMILY CLINIC
Location Address3646 CHAMBLEE TUCKER RD STE BChamblee, GA 30341-4406
Mailing Address3646 Chamblee Tucker Rd Ste BChamblee, GA 30341-4406 · (770) 493-6767 · Fax (770) 493-6797
Phone(770) 493-6767
Fax(770) 493-6797
Organization SubpartNo
Authorized OfficialNipun PatelPresident · (770) 493-6767
Enumeration DateJanuary 24, 2007
Last NPPES UpdateApril 25, 2026
NPPES CertifiedApril 25, 2026
✔ NPI 1528113107 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 · 46800
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.
3646 CHAMBLEE TUCKER RD STE B, Chamblee, GA 30341
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Other Identifiers 1

Medicaid000821917FGA

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., Ambetter from Absolute Total Care, Ambetter Health and more.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)

Premier Family Clinic 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 Premier Family Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nipun Patel, M.D.
Internal Medicine
NPI 1417990987
3646 CHAMBLEE TUCKER RD STE B
Chamblee, GA 30341
(770) 493-6767
✔ 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 11D1012176

Premier Family Clinic · Chamblee, GA
Active · expires May 1, 2027
CLIA Number11D1012176
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorNipun B. Patel
Laboratory Phone(770) 493-6767
Laboratory LocationPremier Family Clinic3646 Chamblee Tucker Road Suite D, Chamblee, GA 30341
CLIA data matches this NPI record on: Name Phone
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 Premier Family Clinic's NPI number?

The NPI number for Premier Family Clinic is 1528113107. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Premier Family Clinic located?

Premier Family Clinic is located at 3646 Chamblee Tucker Rd Ste B, Chamblee, GA 30341. The listed phone number is (770) 493-6767.

What is Premier Family Clinic's specialty?

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

Is Premier Family Clinic enrolled in Medicare?

Yes. Premier Family Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Family Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Premier Family Clinic. 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 Premier Family Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1012176) is associated with this NPI, valid through May 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Family Clinic accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Premier Family Clinic 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 Premier Family Clinic was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.