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PRIMEDOC GA LLC
NPI 1801639687
Family Medicine in Atlanta, GA

Active since June 18, 2024CLIA 11D2307459 · Waiver
3867 ROSWELL RD NE STE 100, ATLANTA, GA 30342(706) 408-0909 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Primedoc Ga Llc NPPES

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

PRIMEDOC GA LLC (NPI 1801639687) is a healthcare organization registered as a family medicine in Atlanta, Georgia and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Harutyun Haroyan, Director, as its authorized official.

NPPES Registry Identity

NPI1801639687
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMEDOC GA LLC
Location Address3867 ROSWELL RD NE STE 100Atlanta, GA 30342-4452
Mailing Address3867 Roswell Rd Ne Ste 100Atlanta, GA 30342-4452 · (706) 408-0909
Phone(706) 408-0909
Organization SubpartNo
Authorized OfficialHarutyun HaroyanDirector · (706) 408-0909
Enumeration DateJune 18, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1801639687 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.
3867 ROSWELL RD NE STE 100, Atlanta, GA 30342
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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 11D2307459

Primedoc · Atlanta, GA
Active · expires Jul 8, 2028
CLIA Number11D2307459
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorMelvin Williams
Laboratory Phone(706) 408-0909
Laboratory LocationPrimedoc3867 Roswell Road, NE, Ste 100, Atlanta, GA 30342
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LINDSAY YOUNG SMITH D.N.P.
Nurse Practitioner (Family)
3867 ROSWELL RD NE STE 100
ATLANTA, GA 30342
Fulton County (678) 821-2828
DAVID SEABOLT II
Physician Assistant (Medical)
3867 ROSWELL RD NE STE 100
ATLANTA, GA 30342
Fulton County (678) 904-5611
ALLCARE GA PC
Internal Medicine
3867 ROSWELL RD NE STE 100
ATLANTA, GA 30342
Fulton County (678) 999-8263

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 Primedoc Ga LLC's NPI number?

The NPI number for Primedoc Ga LLC is 1801639687. It was assigned to this organization in the NPPES registry on June 18, 2024.

Where is Primedoc Ga LLC located?

Primedoc Ga LLC is located at 3867 Roswell Rd NE Ste 100, Atlanta, GA 30342. The listed phone number is (706) 408-0909.

What is Primedoc Ga LLC's specialty?

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

Does Primedoc Ga LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2307459) is associated with this NPI, valid through July 8, 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 Primedoc Ga LLC was last updated on June 18, 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.