STARR'S MILL INTERNAL MEDICINE, LLC
NPI 1689724809
Internal Medicine in Fayetteville, GA

Active since January 11, 2007CLIA 11D0983347 · Waiver
1330 HIGHWAY 74, MAY HOUSE, FAYETTEVILLE, GA 30215(770) 631-2502(770) 631-2503 Get Directions Write a Review

NPPES record last updated: March 19, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Starr's Mill Internal Medicine, Llc NPPES

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

STARR'S MILL INTERNAL MEDICINE, LLC (NPI 1689724809) is a healthcare organization registered as an internal medicine in Fayetteville, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Anthony F Lawson, President, as its authorized official.

NPPES Registry Identity

NPI1689724809
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTARR'S MILL INTERNAL MEDICINE, LLC
Location Address1330 HIGHWAY 74, MAY HOUSEFayetteville, GA 30215-2950
Mailing Address1330 Highway 74, May HouseFayetteville, GA 30215-2950 · (770) 631-2502 · Fax (770) 631-2503
Fax(770) 631-2503
Organization SubpartNo
Authorized OfficialAnthony F LawsonPresident · (770) 631-2502
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMarch 19, 2010
✔ NPI 1689724809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
1330 HIGHWAY 74, Fayetteville, GA 30215

Other Identifiers 3

Other11D0983347GA · Clia #
OtherDC7883GA · Railroad Medicare Grp #
Medicare ID-Type UnspecifiedGRP7039GA · Medicare Group #

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)

Starr's Mill Internal Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Starr's Mill Internal Medicine, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1336257831
1330 HIGHWAY 74 MAY HOUSE
Fayetteville, GA 30215
(770) 631-2502
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1558459768
1330 HIGHWAY 74
Fayetteville, GA 30215
(770) 631-2502
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922036607
1330 GA-74
Fayetteville, GA 30215
(770) 631-2502
✔ PECOSSame address

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 11D0983347

Starrs Mill Internal Medicine LLC · Fayetteville, GA
Active · expires Feb 20, 2027
CLIA Number11D0983347
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorAnthony F. Lawson
Laboratory Phone(770) 716-3660
Laboratory LocationStarrs Mill Internal Medicine LLC1330 Highway 74 South, May House, Fayetteville, GA 30215
CLIA data matches this NPI record on: Address
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 Starr's Mill Internal Medicine, LLC's NPI number?

The NPI number for Starr's Mill Internal Medicine, LLC is 1689724809. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Starr's Mill Internal Medicine, LLC located?

Starr's Mill Internal Medicine, LLC is located at 1330 Highway 74 May House, Fayetteville, GA 30215. The listed phone number is (770) 631-2502.

What is Starr's Mill Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Starr's Mill Internal Medicine, LLC enrolled in Medicare?

Yes. Starr's Mill Internal Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Starr's Mill Internal Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Starr's Mill Internal Medicine, LLC, in Emergency Medicine, Family Practice and Internal Medicine. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Starr's Mill Internal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0983347) is associated with this NPI, valid through February 20, 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 Starr's Mill Internal Medicine, LLC was last updated on March 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.