MELA URGENT AND PRIMARY CARE CLINIC LLC
NPI 1598559726
Nurse Practitioner - Family in Clarkston, GA

Q: What is Mela Urgent And Primary Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 04, 2025CLIA 11D2334320 · Waiver

953 MONTREAL RD STE B, CLARKSTON, GA 30021(770) 685-8821 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 12, 2026, Apr 4, 2025 (2 updates tracked since 2025).

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About Mela Urgent And Primary Care Clinic Llc NPPES

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

MELA URGENT AND PRIMARY CARE CLINIC LLC (NPI 1598559726) is a healthcare organization registered as a family in Clarkston, Georgia and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Marshet Tenaw, Provider, as its authorized official.

NPPES Registry Identity

NPI1598559726

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMELA URGENT AND PRIMARY CARE CLINIC LLC

Location Address953 MONTREAL RD STE BClarkston, GA 30021-1410

Mailing Address953 Montreal Rd Ste BClarkston, GA 30021-1410

Phone(770) 685-8821

Organization SubpartNo

Authorized OfficialMarshet TenawProvider · (770) 685-8821

Enumeration DateApril 4, 2025

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1598559726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

953 MONTREAL RD STE B, Clarkston, GA 30021

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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

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 11D2334320

Mela Urgent And Primary Care · Clarkston, GA

Active · expires Nov 18, 2027

CLIA Number11D2334320

Laboratory TypePhysician Office

Certificate Effective DateNovember 19, 2025

Certificate Expiration DateNovember 18, 2027

Laboratory DirectorMarshet Tenaw

Laboratory Phone(678) 723-8011

Laboratory LocationMela Urgent And Primary Care953 Montreal Road, Suite B, Clarkston, GA 30021

CLIA data matches this NPI record on: Address 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 Mela Urgent And Primary Care Clinic LLC's NPI number?

The NPI number for Mela Urgent And Primary Care Clinic LLC is 1598559726. It was assigned to this organization in the NPPES registry on April 4, 2025.

Where is Mela Urgent And Primary Care Clinic LLC located?

Mela Urgent And Primary Care Clinic LLC is located at 953 Montreal Rd Ste B, Clarkston, GA 30021. The listed phone number is (770) 685-8821.

What is Mela Urgent And Primary Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Mela Urgent And Primary Care Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2334320) is associated with this NPI, valid through November 18, 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 Mela Urgent And Primary Care Clinic LLC was last updated on March 12, 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.