IDEAL MEDCLINIC INC
NPI 1841955937
Family Medicine in Riverdale, GA

Active since November 03, 2021CLIA 11D2238796 · Waiver
6572 RIVER PARK DR STE 102, RIVERDALE, GA 30274(770) 629-2296 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ideal Medclinic Inc NPPES

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

IDEAL MEDCLINIC INC (NPI 1841955937) is a healthcare organization registered as a family medicine in Riverdale, Georgia and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Melissa Salcido, Cfo, as its authorized official.

NPPES Registry Identity

NPI1841955937
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIDEAL MEDCLINIC INC
Location Address6572 RIVER PARK DR STE 102Riverdale, GA 30274-2214
Mailing Address6572 River Park Dr Ste 102Riverdale, GA 30274-2214 · (770) 629-2296
Organization SubpartNo
Authorized OfficialMelissa SalcidoCfo · (678) 314-7235
Enumeration DateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
NPI 1841955937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedInternal MedicineTaxonomy 207R00000X
6572 RIVER PARK DR STE 102, Riverdale, GA 30274

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

Accepted 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 11D2238796

Ideal Medclinic, Inc · Riverdale, GA
Active · expires Oct 5, 2027
CLIA Number11D2238796
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorEloy E. Diaz
Laboratory Phone(770) 629-2296
Laboratory LocationIdeal Medclinic, Inc6572 River Park Drive, Suite 102, Riverdale, GA 30274
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

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

Internal Medicine
6572 RIVER PARK DR STE 102
RIVERDALE, GA 30274

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 Ideal Medclinic Inc's NPI number?

The NPI number for Ideal Medclinic Inc is 1841955937. It was assigned to this organization in the NPPES registry on November 3, 2021.

Where is Ideal Medclinic Inc located?

Ideal Medclinic Inc is located at 6572 River Park Dr Ste 102, Riverdale, GA 30274. The listed phone number is (770) 629-2296.

What is Ideal Medclinic Inc's specialty?

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

Does Ideal Medclinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2238796) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ideal Medclinic Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ideal Medclinic Inc 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 Ideal Medclinic Inc was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.