ATLANTA INTERNAL MEDICINE PC
NPI 1639567472
Clinic/Center - Primary Care in Duluth, GA
About Atlanta Internal Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLANTA INTERNAL MEDICINE PC (NPI 1639567472) is a healthcare organization registered as a primary care in Duluth, Georgia and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Jo Kim, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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)
Atlanta Internal Medicine Pc 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 Atlanta Internal Medicine PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2092651
Atlanta Internal Medicine PC · Duluth, GAFrequently 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 Atlanta Internal Medicine PC's NPI number?
The NPI number for Atlanta Internal Medicine PC is 1639567472. It was assigned to this organization in the NPPES registry on January 2, 2015.
Where is Atlanta Internal Medicine PC located?
Atlanta Internal Medicine PC is located at 2400 Pleasant Hill Rd Suite 300, Duluth, GA 30096. The listed phone number is (770) 858-5252.
What is Atlanta Internal Medicine PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Atlanta Internal Medicine PC enrolled in Medicare?
Yes. Atlanta Internal Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlanta Internal Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Atlanta 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Atlanta Internal Medicine PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2092651) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Atlanta Internal Medicine PC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Atlanta 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 Atlanta Internal Medicine PC was last updated on January 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Atlanta Internal Medicine Pc · NPI 1639567472
Primary Care organization in Duluth, Georgia. Organization record, active in the CMS NPPES registry since January 2, 2015.
## Identity
- **NPI:** 1639567472 (Entity type: Organization)
- **Enumerated:** January 2, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jo Kim, CEO
## Practice location
- **Address:** 2400 PLEASANT HILL RD, SUITE 300, Duluth, GA 30096-4396
- **Phone:** (770) 858-5252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2015
- **Other identifiers:** Medicaid 003109338A (GA); Medicare PIN 202I110497 (GA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1639567472) · Data from the CMS NPPES public registry.