CUMMING INTERNAL MEDICINE
NPI 1770799702
Clinic/Center - Primary Care in Roswell, GA

Q: What is Alpharetta Internal Medicine Associates, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 15, 2007CLIA 11D1055430 · Waiver

1380 UPPER HEMBREE RD, ROSWELL, GA 30076(770) 442-9016 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Oct 6, 2020, Dec 13, 2016 (3 updates tracked since 2016).

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About Cumming Internal Medicine NPPES

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

CUMMING INTERNAL MEDICINE (NPI 1770799702) is a healthcare organization registered as a primary care in Roswell, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Heidi Mabry, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1770799702

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameALPHARETTA INTERNAL MEDICINE ASSOCIATES, PC

Location Address1380 UPPER HEMBREE RDRoswell, GA 30076-1146

Mailing Address1380 Upper Hembree RdRoswell, GA 30076-1146 · (770) 442-9016

Phone(770) 442-9016

Organization SubpartNo

Authorized OfficialHeidi MabryBilling Manager · (770) 475-2377

Enumeration DateMay 15, 2007

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedOctober 6, 2020

✔ NPI 1770799702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1380 UPPER HEMBREE RD, Roswell, GA 30076

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Other Names 1

Doing Business AsCumming Internal Medicine

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 Waiver 11D1055430

Cumming Internal Medicine · Cumming, GA

Active · expires Jun 15, 2028

CLIA Number11D1055430

Laboratory TypePhysician Office

Certificate Effective DateJune 16, 2026

Certificate Expiration DateJune 15, 2028

Laboratory DirectorMargaret M. Still

Laboratory Phone(770) 475-2377

Laboratory LocationCumming Internal Medicine950 Sanders Road, Cumming, GA 30041

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0720188

Alpharetta Internal Medicine · Roswell, GA

Expired · Jun 30, 2026

CLIA Number11D0720188

Laboratory TypePhysician Office

Certificate Effective DateJuly 1, 2024

Certificate Expiration DateJune 30, 2026

Laboratory DirectorClifford F. Burnett III MD

Laboratory Phone(770) 475-2377

Laboratory LocationAlpharetta Internal Medicine1380 Upper Hembree Road, Roswell, GA 30076

CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 6

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

NORTH FULTON PSYCHIATRIC CARE PC

Psychiatry & Neurology (Psychiatry)