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POSITIVE IMPACT HEALTH CENTERS INC
NPI 1790861995
Clinic/Center - Primary Care in Duluth, GA

Active since October 31, 2006CLIA 11D2169627 · Waiver
3350 BRECKINRIDGE BLVD STE 200, DULUTH, GA 30096(770) 962-8396(770) 962-1291 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2024, Jul 25, 2018, Jun 28, 2018 (3 updates tracked since 2018).

About Positive Impact Health Centers Inc NPPES

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

POSITIVE IMPACT HEALTH CENTERS INC (NPI 1790861995) is a healthcare organization registered as a primary care in Duluth, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 23, 2027, maintains 2 additional practice locations, and lists Barbara Nkomazana, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1790861995
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePOSITIVE IMPACT HEALTH CENTERS INC
Location Address3350 BRECKINRIDGE BLVD STE 200Duluth, GA 30096
Mailing Address3350 Breckinridge Blvd Ste 200Duluth, GA 30096-4959 · (770) 962-8396 · Fax (770) 962-1291
Phone(770) 962-8396
Fax(770) 962-1291
Organization SubpartNo
Authorized OfficialBarbara NkomazanaBilling Specialist · (404) 589-9040
Enumeration DateOctober 31, 2006
Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1790861995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 024478
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
3350 BRECKINRIDGE BLVD STE 200, Duluth, GA 30096
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1523 Church StDecatur, GA 30030-2515 · Phone (404) 589-9040 · Fax (404) 589-1615
Location 21650 County Services Pkwy SWMarietta, GA 30008-4010 · Phone (770) 514-2464 · Fax (770) 514-2806

Other Identifiers 2

Medicaid000675342AGA
Medicaid536210665AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2169627

Positive Impact Health Centers, Inc · Marietta, GA
Active · expires Jul 23, 2027
CLIA Number11D2169627
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorJoey D. Helton
Laboratory Phone(770) 514-2464
Laboratory LocationPositive Impact Health Centers, Inc1650 County Services Road, Marietta, GA 30008
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

POSITIVE IMPACT HEALTH CENTERS, INC
Case Management
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
CHRISTOPHER PRIDE
Nurse Practitioner (Adult Health)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (720) 472-8052
MR. JOHN LEE STANTON JR. AGPCNP-BC, APRN
Nurse Practitioner (Primary Care)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
SAMANTHA MARIE HYDES APRN, FNP-BC
Nurse Practitioner (Family)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (678) 990-6422
CHRISTIAN JAVIER CARMONA-CARLO
Counselor (Professional)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
MAYTAL SCHMIDT
Social Worker (Clinical)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
MR. BRYAN MILD GOLSON LPC
Counselor (Professional)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
DR. PAMELA MARIE WASHINGTON DMD
Dentist (General Practice)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396

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 Positive Impact Health Centers Inc's NPI number?

The NPI number for Positive Impact Health Centers Inc is 1790861995. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Positive Impact Health Centers Inc located?

Positive Impact Health Centers Inc is located at 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096. The listed phone number is (770) 962-8396.

What is Positive Impact Health Centers Inc's specialty?

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

Does Positive Impact Health Centers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2169627) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Positive Impact Health Centers Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Positive Impact Health Centers Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Positive Impact Health Centers Inc was last updated on January 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.