CERIUM FAMILY PRACTICE AND URGENT MEDICINE, LLC
NPI 1780280776
Clinic/Center - Primary Care in Tucker, GA
About Cerium Family Practice And Urgent Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CERIUM FAMILY PRACTICE AND URGENT MEDICINE, LLC (NPI 1780280776), doing business as Cerium Family Practice, is a healthcare organization registered as a primary care in Tucker, Georgia and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Sondi Moore-waters, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cerium Family Practice And Urgent Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cerium Family Practice And Urgent Medicine, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2171339
Cerium Family Practice & Urgent Medicine, LLC · Decatur, GAFrequently 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 Cerium Family Practice And Urgent Medicine, LLC's NPI number?
The NPI number for Cerium Family Practice And Urgent Medicine, LLC is 1780280776. It was assigned to this organization in the NPPES registry on December 7, 2020. The provider is doing business as Cerium Family Practice.
Where is Cerium Family Practice And Urgent Medicine, LLC located?
Cerium Family Practice And Urgent Medicine, LLC is located at 2799 Lawrenceville Hwy Suite 104, Tucker, GA 30084. The listed phone number is (404) 297-3440.
What is Cerium Family Practice And Urgent Medicine, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Cerium Family Practice And Urgent Medicine, LLC enrolled in Medicare?
Yes. Cerium Family Practice And Urgent Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cerium Family Practice And Urgent Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Cerium Family Practice And Urgent Medicine, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cerium Family Practice And Urgent Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2171339) is associated with this NPI, valid through August 28, 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 Cerium Family Practice And Urgent Medicine, LLC was last updated on December 15, 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.
# Cerium Family Practice And Urgent Medicine, Llc · NPI 1780280776
Primary Care organization in Tucker, Georgia. Organization record, active in the CMS NPPES registry since December 7, 2020.
## Identity
- **NPI:** 1780280776 (Entity type: Organization)
- **Enumerated:** December 7, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Cerium Family Practice (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sondi Moore-Waters, PHYSICIAN
## Practice location
- **Address:** 2799 LAWRENCEVILLE HWY, SUITE 104, Tucker, GA 30084
- **Phone:** (404) 297-3440 · **Fax:** (770) 741-0948
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1780280776) · Data from the CMS NPPES public registry.