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EXCELSIOR HEALTHCARE LLC
NPI 1740142843
Family Medicine in Norcross, GA

Active since November 26, 2025CLIA 11D2345974 · Waiver
777 W PEACHTREE ST, NORCROSS, GA 30071(770) 246-6100(770) 246-6142 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2026, Nov 26, 2025 (2 updates tracked since 2025).

About Excelsior Healthcare Llc NPPES

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

EXCELSIOR HEALTHCARE LLC (NPI 1740142843) is a healthcare organization registered as a family medicine in Norcross, Georgia and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through June 21, 2028, maintains 6 additional practice locations, and lists Selina Zhu, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1740142843
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEXCELSIOR HEALTHCARE LLC
Location Address777 W PEACHTREE STNorcross, GA 30071-1868
Mailing Address777 W Peachtree StNorcross, GA 30071-1868
Phone(770) 246-6100
Fax(770) 246-6142
Organization SubpartNo
Authorized OfficialSelina ZhuCredentialing Coordinator · (770) 246-6100
Enumeration DateNovember 26, 2025
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1740142843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
777 W PEACHTREE ST, Norcross, GA 30071
Open in Google Maps ↗

Secondary Practice Locations 6

Location 14470 Satellite Blvd Ste 204Duluth, GA 30096-8851 · Phone (770) 858-5983
Location 2277 E Crogan StLawrenceville, GA 30046-5054 · Phone (770) 822-4411
Location 32805 Hamilton Mill RdBuford, GA 30519-4110 · Phone (678) 541-0588
Location 4275 Carpenter Dr Ste 100Atlanta, GA 30328-4909 · Phone (404) 497-9739
Location 53895 Johns Creek Pkwy Ste BSuwanee, GA 30024-1295 · Phone (770) 203-0618
Location 64855 River Green Pkwy Ste 520Duluth, GA 30096-8337 · Phone (678) 417-1588

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)

Excelsior Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Excelsior Healthcare LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Patrick Huynh, DO
Internal Medicine
NPI 1245761303
777 W PEACHTREE ST
Norcross, GA 30071
(770) 246-6100
✔ PECOS✔ Accepts MedicareSame address
Christine Bao, M.D.
Family Practice
NPI 1831175132
777 W PEACHTREE ST
Norcross, GA 30071
(770) 246-6100
✔ PECOS✔ Accepts MedicareSame address
Liem Ngo, M.D.
Family Practice
NPI 1891950457
4470 SATELLITE BLVD SUITE 204
Duluth, GA 30096
(770) 858-5983
✔ PECOS✔ Accepts Medicare3.8 mi
Alice-Wei You, MD
Internal Medicine
NPI 1851301907
4855 RIVER GREEN PARKWAY SUITE 520
Duluth, GA 30096
(678) 417-1588
✔ PECOS✔ Accepts Medicare6.3 mi
Amy Tran, DO
Family Practice
NPI 1598415168
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
(678) 312-1000
✔ PECOS✔ Accepts Medicare12 mi
Thuy Vy Tran Plata, MD
Internal Medicine
NPI 1689317901
277 E CROGAN ST
Lawrenceville, GA 30046
(770) 822-4411
✔ PECOS✔ Accepts Medicare15 mi
Kelcie Miller, DO
Family Practice
NPI 1891257754
2805 HAMILTON MILL RD
Buford, GA 30519
(678) 541-0588
✔ PECOS✔ Accepts Medicare20 mi
Ding Xie
Family Practice
NPI 1215342266
1120 15TH ST
Augusta, GA 30912
(706) 721-3157
✔ PECOS✔ Accepts Medicare133 mi
Xiang You, MD
Family Practice
NPI 1265181192
1900 TEBEAU ST
Waycross, GA 31501
(912) 662-0088
✔ PECOS✔ Accepts Medicare216 mi

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 11D2345974

Excelsior Healthcare LLC · Duluth, GA
Active · expires Jun 21, 2028
CLIA Number11D2345974
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorLiem C. Ngo
Laboratory Phone(770) 858-5983
Laboratory LocationExcelsior Healthcare LLC4470 Satellite Blvd, Ste 204, Duluth, GA 30096
CLIA data matches this NPI record on: Address Name Phone
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 Excelsior Healthcare LLC's NPI number?

The NPI number for Excelsior Healthcare LLC is 1740142843. It was assigned to this organization in the NPPES registry on November 26, 2025.

Where is Excelsior Healthcare LLC located?

Excelsior Healthcare LLC is located at 777 W Peachtree St, Norcross, GA 30071. The listed phone number is (770) 246-6100.

What is Excelsior Healthcare LLC's specialty?

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

Is Excelsior Healthcare LLC enrolled in Medicare?

Yes. Excelsior Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Excelsior Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Excelsior Healthcare 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. The largest specialties are Family Practice (6) and Internal Medicine (3). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Excelsior Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2345974) is associated with this NPI, valid through June 21, 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 Excelsior Healthcare LLC was last updated on April 17, 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.