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DULUTH FAMILY PRACTICE LLC
NPI 1730558735
Family Medicine in Duluth, GA

Active since September 20, 2015CLIA 11D2108660 · Microscopy
4470 SATELLITE BLVD, SUITE 204, DULUTH, GA 30096(770) 858-5983(770) 858-5066 Get Directions Write a Review

NPPES record last updated: September 20, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Duluth Family Practice Llc NPPES

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

DULUTH FAMILY PRACTICE LLC (NPI 1730558735) is a healthcare organization registered as a family medicine in Duluth, Georgia and active in the NPI registry since September 2015. The organization holds a CLIA Microscopy certificate valid through February 8, 2028 and lists Liem Chi Ngo, Owner, as its authorized official.

NPPES Registry Identity

NPI1730558735
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDULUTH FAMILY PRACTICE LLC
Location Address4470 SATELLITE BLVD, SUITE 204Duluth, GA 30096-8851
Mailing Address4470 Satellite Blvd, Suite 204Duluth, GA 30096-8851 · (770) 858-5983 · Fax (770) 858-5066
Phone(770) 858-5983
Fax(770) 858-5066
Organization SubpartNo
Authorized OfficialLiem Chi NgoOwner · (770) 858-5983
Enumeration DateSeptember 20, 2015
✔ NPI 1730558735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4470 SATELLITE BLVD, Duluth, GA 30096
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Duluth Family Practice Llc 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 Duluth Family Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Liem Ngo, M.D.
Family Practice
NPI 1891950457
4470 SATELLITE BLVD SUITE 204
Duluth, GA 30096
(770) 858-5983
✔ PECOS✔ Accepts MedicareSame 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 for Provider-Performed Microscopy Procedures (PPMP) 11D2108660

Duluth Family Practice, LLC · Duluth, GA
Active · expires Feb 8, 2028
CLIA Number11D2108660
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorLiem C. Ngo
Laboratory Phone(770) 858-5983
Laboratory LocationDuluth Family Practice, LLC4470 Satelite Blvd, Suite #204, Duluth, GA 30096
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Duluth Family Practice LLC's NPI number?

The NPI number for Duluth Family Practice LLC is 1730558735. It was assigned to this organization in the NPPES registry on September 20, 2015.

Where is Duluth Family Practice LLC located?

Duluth Family Practice LLC is located at 4470 Satellite Blvd Suite 204, Duluth, GA 30096. The listed phone number is (770) 858-5983.

What is Duluth Family Practice LLC's specialty?

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

Is Duluth Family Practice LLC enrolled in Medicare?

Yes. Duluth Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Duluth Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Duluth Family Practice 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Duluth Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2108660) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Duluth Family Practice LLC was last updated on September 20, 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.