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ATLANTA PERSONALIZED MEDICINE LLC
NPI 1740947035
Internal Medicine in Atlanta, GA

Active since November 21, 2021CLIA 11D2244739 · Waiver
5667 PEACHTREE DUNWOODY RD STE 200, ATLANTA, GA 30342(678) 961-4100 Get Directions Write a Review

NPPES record last updated: January 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2024, Nov 21, 2021 (2 updates tracked since 2021).

About Atlanta Personalized Medicine Llc NPPES

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

ATLANTA PERSONALIZED MEDICINE LLC (NPI 1740947035) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists David Fidel Rodriguez, President, as its authorized official.

NPPES Registry Identity

NPI1740947035
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameATLANTA PERSONALIZED MEDICINE LLC
Location Address5667 PEACHTREE DUNWOODY RD STE 200Atlanta, GA 30342-1725
Mailing Address6240 Aberdeen DrAtlanta, GA 30328-4207 · (678) 662-5190
Phone(678) 961-4100
Organization SubpartNo
Authorized OfficialDavid Fidel RodriguezPresident · (678) 662-5190
Enumeration DateNovember 21, 2021
Last NPPES UpdateJanuary 6, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2024
✔ NPI 1740947035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5667 PEACHTREE DUNWOODY RD STE 200, Atlanta, GA 30342
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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

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 11D2244739

Atlanta Personalized Medicine LLC · Atlanta, GA
Active · expires Dec 5, 2027
CLIA Number11D2244739
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorDavid F. Rodriguez
Laboratory Phone(678) 961-4100
Laboratory LocationAtlanta Personalized Medicine LLC5667 Peachtree Dunwoody Road, Suite 200, Atlanta, GA 30342
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 Atlanta Personalized Medicine LLC's NPI number?

The NPI number for Atlanta Personalized Medicine LLC is 1740947035. It was assigned to this organization in the NPPES registry on November 21, 2021.

Where is Atlanta Personalized Medicine LLC located?

Atlanta Personalized Medicine LLC is located at 5667 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30342. The listed phone number is (678) 961-4100.

What is Atlanta Personalized Medicine LLC's specialty?

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

Does Atlanta Personalized Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2244739) is associated with this NPI, valid through December 5, 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 Atlanta Personalized Medicine LLC was last updated on January 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.