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CHAMBLEE FAMILY MEDICAL CLINIC LLC
NPI 1821709262
Nurse Practitioner - Family in Chamblee, GA

Active since December 07, 2022CLIA 11D2276317 · Waiver
4897 BUFORD HWY STE 167, CHAMBLEE, GA 30341(770) 872-8141(770) 872-8142 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Mar 12, 2023, Dec 7, 2022 (3 updates tracked since 2022).

About Chamblee Family Medical Clinic Llc NPPES

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

CHAMBLEE FAMILY MEDICAL CLINIC LLC (NPI 1821709262) is a healthcare organization registered as a family in Chamblee, Georgia and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through February 6, 2027, maintains a secondary practice location in Duluth, and lists Vincent Chi Nguyen, Dnp, as its authorized official.

NPPES Registry Identity

NPI1821709262
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHAMBLEE FAMILY MEDICAL CLINIC LLC
Location Address4897 BUFORD HWY STE 167Chamblee, GA 30341-3670
Mailing Address4897 Buford Hwy Ste 167Chamblee, GA 30341-3670 · (770) 872-8141 · Fax (770) 872-8142
Phone(770) 872-8141
Fax(770) 872-8142
Organization SubpartNo
Authorized OfficialVincent Chi NguyenDnp · (770) 872-8141
Enumeration DateDecember 7, 2022
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1821709262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4897 BUFORD HWY STE 167, Chamblee, GA 30341
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Secondary Practice Location 1

Location 11630 Pleasant Hill Rd Ste 120Duluth, GA 30096-5899 · Phone (770) 872-8141 · Fax (770) 872-8142

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 11D2276317

Chamblee Family Medical Clinic · Chamblee, GA
Active · expires Feb 6, 2027
CLIA Number11D2276317
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorVincent C. Nguyen
Laboratory Phone(770) 872-8141
Laboratory LocationChamblee Family Medical Clinic4897 Buford Highway #167, Chamblee, GA 30341
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

VINCENT CHI NGUYEN DNP
Nurse Practitioner (Family)
4897 BUFORD HWY STE 167
CHAMBLEE, GA 30341
Dekalb County (770) 872-8141

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 Chamblee Family Medical Clinic LLC's NPI number?

The NPI number for Chamblee Family Medical Clinic LLC is 1821709262. It was assigned to this organization in the NPPES registry on December 7, 2022.

Where is Chamblee Family Medical Clinic LLC located?

Chamblee Family Medical Clinic LLC is located at 4897 Buford Hwy Ste 167, Chamblee, GA 30341. The listed phone number is (770) 872-8141.

What is Chamblee Family Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Chamblee Family Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2276317) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chamblee Family 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 Chamblee Family 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 Chamblee Family Medical Clinic LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.