Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CCRM ATLANTA, LLC
NPI 1750752580
Clinical Medical Laboratory in Atlanta, GA

Active since October 20, 2015CLIA Certified · 2 labs
5909 PEACHTREE DUNWOODY RD, SUITE 720, ATLANTA, GA 30328(303) 908-9375 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ccrm Atlanta, Llc NPPES

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

CCRM ATLANTA, LLC (NPI 1750752580) is a healthcare organization registered as a clinical medical laboratory in Atlanta, Georgia and active in the NPI registry since October 2015. The organization holds 2 active CLIA laboratory certificates and lists Matt Tyson, Director, Managed Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1750752580
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCCRM ATLANTA, LLC
Location Address5909 PEACHTREE DUNWOODY RD, SUITE 720Atlanta, GA 30328-8102
Mailing Address5909 Peachtree Dunwoody Rd Ste 600Sandy Springs, GA 30328-8101 · (770) 928-2276
Organization SubpartNo
Authorized OfficialMatt TysonDirector, Managed Care Contracting · (615) 477-6677
Enumeration DateOctober 20, 2015
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
NPI 1750752580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5909 PEACHTREE DUNWOODY RD, Atlanta, GA 30328

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 11D0973827

Ccrm Atlanta · Atlanta, GA
Active · expires Jun 29, 2028
CLIA Number11D0973827
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorDr. Ryan Miller
Laboratory Phone(770) 928-2276
Laboratory LocationCcrm Atlanta5909 Peachtree Dunwoody Road, Suite 600, Atlanta, GA 30328
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 11D1001558

Ccrm Atlanta · Atlanta, GA
Active · expires Apr 13, 2028
CLIA Number11D1001558
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorRyan J. Miller
Laboratory Phone(929) 303-6156
Laboratory LocationCcrm Atlanta1800 Howell Mill Road, Suite 675, Atlanta, GA 30318
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

Student in an Organized Health Care Education/Training Program
5909 PEACHTREE DUNWOODY RD
ATLANTA, GA 30328
Obstetrics & Gynecology
5909 PEACHTREE DUNWOODY RD, SUITE 720
ATLANTA, GA 30328

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 Ccrm Atlanta, LLC's NPI number?

The NPI number for Ccrm Atlanta, LLC is 1750752580. It was assigned to this organization in the NPPES registry on October 20, 2015.

Where is Ccrm Atlanta, LLC located?

Ccrm Atlanta, LLC is located at 5909 Peachtree Dunwoody Rd Suite 720, Atlanta, GA 30328. The listed phone number is (303) 908-9375.

What is Ccrm Atlanta, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Ccrm Atlanta, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ccrm Atlanta, LLC accept?

Health plans from Mending Health list Ccrm Atlanta, LLC 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 Ccrm Atlanta, LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.