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: October 18, 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
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
3350 BRECKINRIDGE BLVD STE 200, Duluth, GA 30096

Secondary Practice Locations 2

Location 11650 County Services Pkwy SWMarietta, GA 30008-4010 · Phone (770) 514-2464 · Fax (770) 514-2806
Location 2523 Church StDecatur, GA 30030-2515 · Phone (404) 589-9040 · Fax (404) 589-1615

Other Identifiers 2

Medicaid000675342AGA
Medicaid536210665AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Positive Impact Health Centers Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Positive Impact Health Centers Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner15
Mental Health Counselor6
Clinical Social Worker2
Dentist2
Family Practice2
Infectious Disease2
Psychiatry2
Certified Clinical Nurse Specialist (CNS)1
2 other specialties2

Nearest to this location (20)

See all 34
Mental Health Counselor
NPI 1033992805
3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096
(770) 962-8396
✔ PECOSSame address
Nurse Practitioner
NPI 1114426806
3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096
(678) 990-6422
✔ PECOSSame address
Clinical Social Worker
NPI 1912578568
3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096
(770) 962-8396
✔ PECOSSame address
Nurse Practitioner
NPI 1851850788
3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096
(770) 962-8396
✔ PECOSSame address
Dentist
NPI 1376293555
3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096
(770) 962-8396
✔ PECOSSame address
Dentist
NPI 1376292995
3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096
(770) 962-8396
✔ PECOSSame address
Mental Health Counselor
NPI 1619855699
3350 BRECKINRIDGE BLVD STE 200
Duluth, GA 30096
(404) 977-5257
✔ PECOSSame address
Nurse Practitioner
NPI 1033346747
3075 BRECKINRIDGE BLVD SUITE 415
Duluth, GA 30096
(770) 962-8396
✔ PECOS0.8 mi
Clinical Social Worker
NPI 1437669041
2975 CLIPPER CT
Lawrenceville, GA 30044
(513) 484-2326
✔ PECOS✔ Accepts Medicare1.7 mi
Infectious Disease
NPI 1912913740
1960 RIVERSIDE PKWY SUITE 101
Lawrenceville, GA 30043
(770) 995-0466
✔ PECOS5.8 mi
Mental Health Counselor
NPI 1902464373
175 GWINNETT DR
Lawrenceville, GA 30046
(678) 209-2394
✔ PECOS7.3 mi
Nurse Practitioner
NPI 1083247951
5555 PEACHTREE DUNWOODY RD STE 201
Sandy Springs, GA 30342
(860) 459-5575
✔ PECOS14 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1003945098
450 WINN WAY
Decatur, GA 30030
(404) 294-0449
✔ PECOS15 mi
Nurse Practitioner
NPI 1205451416
523 CHURCH ST
Decatur, GA 30030
(404) 589-9040
✔ PECOS16 mi
Psychiatry
NPI 1982889200
523 CHURCH ST
Decatur, GA 30030
(404) 500-5424
✔ PECOS16 mi
Mental Health Counselor
NPI 1871283630
523 CHURCH ST
Decatur, GA 30030
(678) 990-6452
✔ PECOS16 mi
Internal Medicine
NPI 1760825905
3472 WINTER WOOD WAY
Marietta, GA 30062
(404) 595-1697
✔ PECOS20 mi
Clinical Psychologist
NPI 1427171149
139 RALPH MCGILL BLVD NE
Atlanta, GA 30308
(404) 589-9040
✔ PECOS20 mi
Psychiatry
NPI 1508149600
139 RALPH MCGILL BLVD NE
Atlanta, GA 30308
(404) 589-9040
✔ PECOS20 mi
Family Practice
NPI 1649347683
424 DECATUR ST SE
Atlanta, GA 30312
(678) 843-8500
✔ PECOS20 mi
See all 34 clinicians

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 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.

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.

Is Positive Impact Health Centers Inc enrolled in Medicare?

Yes. Positive Impact Health Centers Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Positive Impact Health Centers Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 10 Medicare specialties reassign their Medicare billing to Positive Impact Health Centers Inc. 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. The largest specialties are Nurse Practitioner (15), Mental Health Counselor (6) and Clinical Social Worker (2). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.