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GRUPO MEDICO DE GEORGIA, LLC
NPI 1538022975
Family Medicine in Smyrna, GA

Active since December 03, 2025CLIA Certified · 2 labs
2721 S COBB DR SE, SMYRNA, GA 30080(770) 444-9494(770) 436-4656 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grupo Medico De Georgia, Llc NPPES

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

GRUPO MEDICO DE GEORGIA, LLC (NPI 1538022975) is a healthcare organization registered as a family medicine in Smyrna, Georgia and active in the NPI registry since December 2025. The organization holds 2 active CLIA laboratory certificates and lists Eddy Lajara, Manager, as its authorized official.

NPPES Registry Identity

NPI1538022975
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRUPO MEDICO DE GEORGIA, LLC
Location Address2721 S COBB DR SESmyrna, GA 30080-3240
Mailing Address4225 S Lee St Ste BBuford, GA 30518-3872 · (770) 559-3555 · Fax (678) 730-7777
Phone(770) 444-9494
Fax(770) 436-4656
Organization SubpartYes
Authorized OfficialEddy LajaraManager · (770) 559-3555
Enumeration DateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1538022975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2721 S COBB DR SE, Smyrna, GA 30080
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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 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 of Waiver 11D2211580

Grupo Medico De Georgia · Mableton, GA
Active · expires Jan 27, 2027
CLIA Number11D2211580
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorIbrahim A. Opaleye
Laboratory Phone(770) 559-3555
Laboratory LocationGrupo Medico De Georgia1060 Veterans Memorial Highway SW Suite 200, Mableton, GA 30126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2095164

Grupo Medico De Ga · Norcross, GA
Active · expires Apr 30, 2027
CLIA Number11D2095164
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorOnelio E. Perdomo
Laboratory Phone(770) 559-3555
Laboratory LocationGrupo Medico De Ga5955 Jimmy Carter Blvd #100, Norcross, GA 30071
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

PEDI-EVE, INC.
Clinic/Center (Primary Care)
2721 S COBB DR SE
SMYRNA, GA 30080
Cobb County (770) 444-9494
ALBERTO REINALDO ALAM-GONZALEZ M.D.
General Practice
2721 S COBB DR SE
SMYRNA, GA 30080
Cobb County (770) 444-9494

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 Grupo Medico De Georgia, LLC's NPI number?

The NPI number for Grupo Medico De Georgia, LLC is 1538022975. It was assigned to this organization in the NPPES registry on December 3, 2025.

Where is Grupo Medico De Georgia, LLC located?

Grupo Medico De Georgia, LLC is located at 2721 S Cobb Dr SE, Smyrna, GA 30080. The listed phone number is (770) 444-9494.

What is Grupo Medico De Georgia, LLC's specialty?

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

Does Grupo Medico De Georgia, LLC hold CLIA laboratory certificates?

Yes. 2 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 Grupo Medico De Georgia, LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.