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QUALITY HEALTH SOURCE
NPI 1780327346
Family Medicine in Mableton, GA

Active since April 20, 2022CLIA 11D2257633 · Waiver
6116 MABLETON PKWY SW STE 136, MABLETON, GA 30126(770) 878-2997 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, Apr 20, 2022 (2 updates tracked since 2022).

About Quality Health Source NPPES

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

QUALITY HEALTH SOURCE (NPI 1780327346) is a healthcare organization registered as a family medicine in Mableton, Georgia and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Temeka L Johnson, Np, as its authorized official.

NPPES Registry Identity

NPI1780327346
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameQUALITY HEALTH SOURCE
Location Address6116 MABLETON PKWY SW STE 136Mableton, GA 30126-4305
Mailing Address6116 Mableton Pkwy Sw Ste 136Mableton, GA 30126-4305 · (678) 324-8009 · Fax (678) 324-8017
Phone(770) 878-2997
Organization SubpartNo
Authorized OfficialTemeka L JohnsonNp · (678) 324-8009
Enumeration DateApril 20, 2022
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1780327346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedLicensed Practical NurseTaxonomy 164W00000X
6116 MABLETON PKWY SW STE 136, Mableton, GA 30126
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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 MULTIPLE 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 11D2257633

Quality Health Source, LLC · Mableton, GA
Active · expires Apr 7, 2028
CLIA Number11D2257633
Laboratory TypePractitioner Other
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorTemeka L. Johnson
Laboratory Phone(770) 878-2997
Laboratory LocationQuality Health Source, LLC6116 Mableton Parkway, SW Suite 136, Mableton, GA 30126
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 Quality Health Source's NPI number?

The NPI number for Quality Health Source is 1780327346. It was assigned to this organization in the NPPES registry on April 20, 2022.

Where is Quality Health Source located?

Quality Health Source is located at 6116 Mableton Pkwy SW Ste 136, Mableton, GA 30126. The listed phone number is (770) 878-2997.

What is Quality Health Source's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Quality Health Source hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2257633) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Quality Health Source was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.