ATLANTA INTERNAL MEDICINE PC
NPI 1639567472
Clinic/Center - Primary Care in Duluth, GA

Active since January 02, 2015CLIA 11D2092651 · Waiver
2400 PLEASANT HILL RD, SUITE 300, DULUTH, GA 30096(770) 858-5252 Get Directions Write a Review

NPPES record last updated: January 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1639567472
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameATLANTA INTERNAL MEDICINE PC
Location Address2400 PLEASANT HILL RD, SUITE 300Duluth, GA 30096-4396
Mailing Address2400 Pleasant Hill Rd, Suite 300Duluth, GA 30096-4396 · (770) 858-5252
Organization SubpartNo
Authorized OfficialJo KimCeo · (770) 858-5252
Enumeration DateJanuary 2, 2015
Last NPPES UpdateJanuary 3, 2015
NPI 1639567472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 64660
2400 PLEASANT HILL RD, Duluth, GA 30096

Other Identifiers 2

Medicaid003109338AGA
Medicare PIN202I110497GA

Accepted Insurance

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, GA
Active · expires Mar 9, 2027
CLIA Number11D2092651
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorKim M. Jo
Laboratory Phone(000) 770-8585
Laboratory LocationAtlanta Internal Medicine PC3775 Venture Drive Building H Suite 101, Duluth, GA 30096
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
2400 PLEASANT HILL RD, SUITE 165
DULUTH, GA 30096
Internal Medicine
2400 PLEASANT HILL RD, SUITE 300
DULUTH, GA 30096
Internal Medicine
2400 PLEASANT HILL RD, 300
DULUTH, GA 30096

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 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.

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 from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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 with the weekly NPPES data releases published by CMS.