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

Q: What is Clement Ayanbadejo LLC's NPI number?

The NPI number for Clement Ayanbadejo LLC is 1811553084. It was assigned to this organization in the NPPES registry on May 14, 2019. The provider is doing business as Macley Family Practice And Walk In Clinic.

Q: What is Clement Ayanbadejo LLC's specialty?

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

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: August 16, 2026.

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

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clement Ayanbadejo LLC's NPI number?

The NPI number for Clement Ayanbadejo LLC is 1811553084. It was assigned to this organization in the NPPES registry on May 14, 2019. The provider is doing business as Macley Family Practice And Walk In Clinic.

Where is Clement Ayanbadejo LLC located?

Clement Ayanbadejo LLC is located at 2282 Meadow Church Rd Ste 200, Duluth, GA 30097. The listed phone number is (678) 372-7880.

What is Clement Ayanbadejo LLC's specialty?

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

Does Clement Ayanbadejo LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2171122) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clement Ayanbadejo LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Clement Ayanbadejo 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 Clement Ayanbadejo LLC was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.