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FRESHMD
NPI 1770458234
Internal Medicine in Suwanee, GA

Active since October 06, 2025CLIA 11D2331131 · Waiver
4245 JOHNS CREEK PKWY STE B, SUWANEE, GA 30024(678) 622-8463 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Freshmd NPPES

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

FRESHMD (NPI 1770458234) is a healthcare organization registered as an internal medicine in Suwanee, Georgia and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Jancie L Berube, Manager, as its authorized official.

NPPES Registry Identity

NPI1770458234
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFRESHMD
Location Address4245 JOHNS CREEK PKWY STE BSuwanee, GA 30024-9122
Mailing Address4245 Johns Creek Pkwy Ste BSuwanee, GA 30024-9122 · (678) 622-8463
Phone(678) 622-8463
Organization SubpartNo
Authorized OfficialJancie L BerubeManager · (678) 622-8463
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1770458234 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.
4245 JOHNS CREEK PKWY STE B, Suwanee, GA 30024
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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

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 11D2331131

Fresh MD, PC · Suwanee, GA
Active · expires Sep 25, 2027
CLIA Number11D2331131
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorNadine S. Halliburton-Foster
Laboratory Phone(678) 622-8463
Laboratory LocationFresh MD, PC4245 Johns Creek Pkwy, Building B, Suwanee, GA 30024
CLIA data matches this NPI record on: 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 Freshmd's NPI number?

The NPI number for Freshmd is 1770458234. It was assigned to this organization in the NPPES registry on October 6, 2025.

Where is Freshmd located?

Freshmd is located at 4245 Johns Creek Pkwy Ste B, Suwanee, GA 30024. The listed phone number is (678) 622-8463.

What is Freshmd's specialty?

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

Does Freshmd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2331131) is associated with this NPI, valid through September 25, 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 Freshmd was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.