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FAMILY FIRST PRIMARY CLINIC LLC
NPI 1790660504
Family Medicine in Cumming, GA

Active since August 11, 2025CLIA 11D2333068 · Waiver
920 PEACHTREE PKWY STE 110, CUMMING, GA 30041(770) 800-3372(770) 406-8188 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Nov 21, 2025, Aug 11, 2025 (3 updates tracked since 2025).

About Family First Primary Clinic Llc NPPES

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

FAMILY FIRST PRIMARY CLINIC LLC (NPI 1790660504) is a healthcare organization registered as a family medicine in Cumming, Georgia and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Mallikarjun Samala, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790660504
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY FIRST PRIMARY CLINIC LLC
Location Address920 PEACHTREE PKWY STE 110Cumming, GA 30041-6823
Mailing Address920 Peachtree Pkwy Ste 110Cumming, GA 30041-6823
Phone(770) 800-3372
Fax(770) 406-8188
Organization SubpartNo
Authorized OfficialMallikarjun SamalaAdministrator · (770) 800-3372
Enumeration DateAugust 11, 2025
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1790660504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
920 PEACHTREE PKWY STE 110, Cumming, GA 30041
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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 11D2333068

Family First Primary Clinic LLC · Cumming, GA
Active · expires Oct 28, 2027
CLIA Number11D2333068
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorRacharla Archana
Laboratory Phone(423) 747-0661
Laboratory LocationFamily First Primary Clinic LLC920 Peachtree Parkway, Suite 110, Cumming, GA 30041
CLIA data matches this NPI record on: Address Name
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 Family First Primary Clinic LLC's NPI number?

The NPI number for Family First Primary Clinic LLC is 1790660504. It was assigned to this organization in the NPPES registry on August 11, 2025.

Where is Family First Primary Clinic LLC located?

Family First Primary Clinic LLC is located at 920 Peachtree Pkwy Ste 110, Cumming, GA 30041. The listed phone number is (770) 800-3372.

What is Family First Primary Clinic LLC's specialty?

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

Does Family First Primary Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2333068) is associated with this NPI, valid through October 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 Family First Primary Clinic LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.