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EXCELSIOR HEALTHCARE PARTNERS LLC
NPI 1578305199
Family Medicine in Norcross, GA

Active since June 12, 2024CLIA Certified · 2 labs
777 W PEACHTREE ST, NORCROSS, GA 30071(770) 246-6100(770) 246-6142 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Excelsior Healthcare Partners Llc NPPES

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

EXCELSIOR HEALTHCARE PARTNERS LLC (NPI 1578305199) is a healthcare organization registered as a family medicine in Norcross, Georgia and active in the NPI registry since June 2024. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Selina Zhu, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1578305199
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEXCELSIOR HEALTHCARE PARTNERS LLC
Location Address777 W PEACHTREE STNorcross, GA 30071-1868
Mailing Address777 W Peachtree StNorcross, GA 30071-1868 · (770) 246-6100 · Fax (770) 246-6142
Phone(770) 246-6100
Fax(770) 246-6142
Organization SubpartNo
Authorized OfficialSelina ZhuAdministrative Assistant · (770) 246-6100
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1578305199 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 · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
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
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Secondary Practice Locations 4

Location 14855 River Green Pkwy Ste 520Duluth, GA 30096-8337 · Phone (678) 417-1588
Location 22805 Hamilton Mill RdBuford, GA 30519-4110 · Phone (678) 541-0588
Location 3277 E Crogan StLawrenceville, GA 30046-5054 · Phone (770) 822-4411
Location 411375 Southbridge PkwyAlpharetta, GA 30022-4618 · Phone (770) 203-0618

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Excelsior Healthcare Partners Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Excelsior Healthcare Partners LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Internal Medicine7
Family Practice3
Cardiovascular Disease (Cardiology)1
Diagnostic Radiology1

Clinicians, nearest first (12)

Patrick Huynh, DO
Internal Medicine
NPI 1245761303
777 W PEACHTREE ST
Norcross, GA 30071
(770) 246-6100
✔ PECOS✔ Accepts MedicareSame address
Christine Bao, M.D.
Family Practice
NPI 1831175132
777 W PEACHTREE ST
Norcross, GA 30071
(770) 246-6100
✔ PECOS✔ Accepts MedicareSame address
Chang Soo Kim, MD
Family Practice
NPI 1215149554
3590 PEACHTREE INDUSTRIAL BLVD
Duluth, GA 30096
(770) 614-9799
✔ PECOS✔ Accepts Medicare5.5 mi
Emily Kang
Internal Medicine
NPI 1750763173
4855 RIVER GREEN PKWY STE 140
Duluth, GA 30096
(678) 417-0077
✔ PECOS6.3 mi
Young Kang, MD
Internal Medicine
NPI 1811946866
4855 RIVER GREEN PKWY STE 140
Duluth, GA 30096
(678) 417-0077
✔ PECOS✔ Accepts Medicare6.3 mi
Alice-Wei You, MD
Internal Medicine
NPI 1851301907
4855 RIVER GREEN PARKWAY SUITE 520
Duluth, GA 30096
(678) 417-1588
✔ PECOS✔ Accepts Medicare6.3 mi
Steven He, M.D.
Internal Medicine
NPI 1154360477
275 CARPENTER DR STE 100
Atlanta, GA 30328
(404) 497-9737
✔ PECOS✔ Accepts Medicare9.0 mi
Rabahuddin Syed, M.D.
Internal Medicine
NPI 1255728994
11720 AMBER PARK DR STE 160
Alpharetta, GA 30009
(855) 232-7888
✔ PECOS✔ Accepts Medicare9.6 mi
Kelcie Miller, DO
Family Practice
NPI 1891257754
2805 HAMILTON MILL RD
Buford, GA 30519
(678) 541-0588
✔ PECOS✔ Accepts Medicare20 mi
Annie Park, D.O.
Internal Medicine
NPI 1194165944
450 NORTHSIDE CHEROKEE BLVD
Canton, GA 30115
(770) 224-1000
✔ PECOS✔ Accepts Medicare25 mi
Dandan Chen, M.D.
Cardiovascular Disease (Cardiology)
NPI 1477973808
3333 JODECO RD.
Mcdonough, GA 30253
(770) 692-4000
✔ PECOS✔ Accepts Medicare31 mi
Yan Cao, M.D.
Diagnostic Radiology
NPI 1134588072
395 W 12TH AVE
Columbus, OH 43210
(614) 293-8315
✔ PECOS✔ Accepts Medicare423 mi

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 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.

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 Partners LLC's NPI number?

The NPI number for Excelsior Healthcare Partners LLC is 1578305199. It was assigned to this organization in the NPPES registry on June 12, 2024.

Where is Excelsior Healthcare Partners LLC located?

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

What is Excelsior Healthcare Partners LLC's specialty?

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

Is Excelsior Healthcare Partners LLC enrolled in Medicare?

Yes. Excelsior Healthcare Partners LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Excelsior Healthcare Partners LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Excelsior Healthcare Partners LLC. 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 Internal Medicine (7), Family Practice (3) and Cardiovascular Disease (Cardiology) (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Excelsior Healthcare Partners 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 Excelsior Healthcare Partners LLC was last updated on June 12, 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.