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MACLEY FAMILY PRACTICE AND WALK IN CLINIC
NPI 1811553084
Family Medicine in Duluth, GA

Active since May 14, 2019CLIA 11D2171122 · Waiver
2282 MEADOW CHURCH RD STE 200, DULUTH, GA 30097(678) 372-7880 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 31, 2020, Dec 3, 2019, Jun 11, 2019 and 1 more (4 updates tracked since 2019).

About Macley Family Practice And Walk In Clinic NPPES

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

MACLEY FAMILY PRACTICE AND WALK IN CLINIC (NPI 1811553084) is a healthcare organization registered as a family medicine in Duluth, Georgia and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Clement O Ayanbadejo, Family Physician, as its authorized official.

NPPES Registry Identity

NPI1811553084
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLEMENT AYANBADEJO LLC
Location Address2282 MEADOW CHURCH RD STE 200Duluth, GA 30097-5318
Mailing Address2282 Meadow Church Rd Ste 200Duluth, GA 30097-5318 · (678) 257-2832 · Fax (470) 282-1069
Phone(678) 372-7880
Organization SubpartNo
Authorized OfficialClement O AyanbadejoFamily Physician · (678) 257-2832
Enumeration DateMay 14, 2019
Last NPPES UpdateDecember 31, 20204 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
✔ NPI 1811553084 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.

2282 MEADOW CHURCH RD STE 200, Duluth, GA 30097
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Other Names 1

Doing Business AsMacley Family Practice And Walk In Clinic

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 ›

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 11D2171122

Macley Family Practice & Walk In Clinic · Duluth, GA
Active · expires Aug 26, 2027
CLIA Number11D2171122
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorClement Ayanbadejo
Laboratory Phone(678) 257-2832
Laboratory LocationMacley Family Practice & Walk In Clinic2282 Meadow Church Road, Duluth, GA 30097
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is CLEMENT AYANBADEJO LLC's NPI number?

The NPI number assigned to this healthcare provider is 1811553084, enumerated as an "organization" on May 14, 2019.

Where is the provider located?

The provider is located at 2282 MEADOW CHURCH RD STE 200 DULUTH, GA 30097 and the phone number is (678) 372-7880.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does CLEMENT AYANBADEJO LLC accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.