SOUTHERN MEDICAL CLINIC LLC
NPI 1801908157
Internal Medicine in Stockbridge, GA

Q: What is Southern Medical Clinic LLC's NPI number?

The NPI number for Southern Medical Clinic LLC is 1801908157. It was assigned to this organization in the NPPES registry on August 31, 2006.

Q: What is Southern Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 31, 2006CLIA 11D2118849 · Waiver

5329 N HENRY BLVD, STOCKBRIDGE, GA 30281(678) 289-9988(678) 383-9945 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Oct 20, 2016 (2 updates tracked since 2016).

On this page

About Southern Medical Clinic Llc NPPES

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

SOUTHERN MEDICAL CLINIC LLC (NPI 1801908157) is a healthcare organization registered as an internal medicine in Stockbridge, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2028 and lists Chirag R Patel, President, as its authorized official.

NPPES Registry Identity

NPI1801908157

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSOUTHERN MEDICAL CLINIC LLC

Location Address5329 N HENRY BLVDStockbridge, GA 30281-3224

Mailing Address5329 N Henry Blvd Ste 221Stockbridge, GA 30281-3224 · (678) 289-9988 · Fax (678) 383-9945

Phone(678) 289-9988

Fax(678) 383-9945

Organization SubpartNo

Authorized OfficialChirag R PatelPresident · (404) 761-1550

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1801908157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5329 N HENRY BLVD, Stockbridge, GA 30281

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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 SINGLE SPECIALTY GROUP

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Medical Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chirag Patel, M.D.

Internal Medicine

NPI 1225008758

5329 N HENRY BLVD
Stockbridge, GA 30281

(678) 289-9988

✔ PECOS✔ Accepts MedicareSame address

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 11D2118849

Southern Medical Clinic,llc · Stockbridge, GA

Active · expires Sep 14, 2028

CLIA Number11D2118849

Laboratory TypePhysician Office

Certificate Effective DateSeptember 15, 2026

Certificate Expiration DateSeptember 14, 2028

Laboratory DirectorChirag R. Patel

Laboratory Phone(678) 289-9988

Laboratory LocationSouthern Medical Clinic,llc5329 North Henry Blvd, Stockbridge, GA 30281

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 Southern Medical Clinic LLC's NPI number?

The NPI number for Southern Medical Clinic LLC is 1801908157. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Southern Medical Clinic LLC located?

Southern Medical Clinic LLC is located at 5329 N Henry Blvd, Stockbridge, GA 30281. The listed phone number is (678) 289-9988.

What is Southern Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Southern Medical Clinic LLC enrolled in Medicare?

Yes. Southern Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Southern Medical Clinic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2118849) is associated with this NPI, valid through September 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Medical Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Medical Clinic LLC 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 Southern Medical Clinic LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.