316 FAMILY MEDICINE
NPI 1861915647
Family Medicine in Bremen, GA

Active since July 24, 2017CLIA 11D2263011 · Waiver
222 GORDON ST, BREMEN, GA 30110(770) 537-1234(770) 537-1237 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2025, Jul 24, 2017 (2 updates tracked since 2017).

About 316 Family Medicine NPPES

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

316 FAMILY MEDICINE (NPI 1861915647) is a healthcare organization registered as a family medicine in Bremen, Georgia and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through June 21, 2028, maintains 7 additional practice locations, and lists Noelle Smith, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1861915647
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name316 FAMILY MEDICINE
Location Address222 GORDON STBremen, GA 30110-1519
Mailing AddressPo Box 728Bremen, GA 30110-0728 · (770) 537-1234 · Fax (770) 537-1235
Fax(770) 537-1237
Organization SubpartYesParent: 316 Healthcare
Authorized OfficialNoelle SmithPractice Manager · (770) 634-8905
Enumeration DateJuly 24, 2017
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1861915647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 059986
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.
222 GORDON ST, Bremen, GA 30110

Secondary Practice Locations 7

Location 1820 Maple StCarrollton, GA 30117-3626 · Phone (678) 390-7900 · Fax (678) 390-7901
Location 2527 Tanner StCarrollton, GA 30117-3318 · Phone (678) 390-6575 · Fax (678) 390-6585
Location 31017 Alabama Ave SBremen, GA 30110-2501 · Phone (678) 390-7900 · Fax (678) 390-7901
Location 4107 Wedgewood DrCarrollton, GA 30117-4335 · Phone (678) 390-7070 · Fax (678) 390-7071
Location 51009 Alabama Ave SBremen, GA 30110-2501 · Phone (678) 821-6400 · Fax (678) 821-6401
Location 621178 Main StreetRanburne, AL 36273 · Phone (938) 526-0010 · Fax (938) 526-0011
Location 7828 Pacific AveBremen, GA 30110-2234 · Phone (678) 390-7900 · Fax (770) 537-1237

Other Identifiers 25

Other1003540147Npi
Other1457021628Npi
Other1821630971Npi
Other1841754611Npi
Other1952951535Npi
Other1154862910Npi
Other1265208318Npi
Other1295123792Npi
Other1407005085Npi
Other1598047730Npi
Other1669710786Npi
Other1871781476Npi
Other059986GA · State License Number
Other1265154884Npi
Other1669982088Npi
Other1184171886Npi
Other1932556453Npi
Other1932730306Npi
Other1407443252Npi
Other1811282346Npi
Other1952854572Npi
Other1023769965Npi
Other1225441967Npi
Other1407291925Npi
Other1962851352Npi

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

316 Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to 316 Family Medicine, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner21
Family Practice3

Nearest to this location (20)

See all 24
Nurse Practitioner
NPI 1265154884
222 GORDON ST
Bremen, GA 30110
(770) 537-1236
✔ PECOSSame address
Nurse Practitioner
NPI 1407291925
222 GORDON ST
Bremen, GA 30110
(770) 537-1234
✔ PECOSSame address
Nurse Practitioner
NPI 1154862910
222 GORDON ST
Bremen, GA 30110
(770) 537-1234
✔ PECOSSame address
Nurse Practitioner
NPI 1669710786
222 GORDON ST
Bremen, GA 30110
(770) 537-1234
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326823899
222 GORDON ST
Bremen, GA 30110
(770) 537-1234
✔ PECOSSame address
Nurse Practitioner
NPI 1588438857
222 GORDON ST
Bremen, GA 30110
(770) 537-1234
✔ PECOSSame address
Nurse Practitioner
NPI 1669982088
828 PACIFIC AVE
Bremen, GA 30110
(678) 390-7900
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1023769965
1009 ALABAMA AVE S
Bremen, GA 30110
(678) 821-6400
✔ PECOS✔ Accepts Medicare1.8 mi
Family Practice
NPI 1811282346
1009 ALABAMA AVE S
Bremen, GA 30110
(678) 821-6400
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1265208318
1009 ALABAMA AVE S
Bremen, GA 30110
(678) 821-6400
✔ PECOS1.8 mi
Family Practice
NPI 1871781476
PO BOX 728 222 GORDON STREET
Bremen, GA 30110
(770) 537-1234
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1598047730
820 MAPLE ST
Carrollton, GA 30117
(678) 390-7915
✔ PECOS11 mi
Family Practice
NPI 1104891472
820 MAPLE ST
Carrollton, GA 30117
(678) 390-7915
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1841754611
820 MAPLE ST
Carrollton, GA 30117
(678) 390-7900
✔ PECOS11 mi
Nurse Practitioner
NPI 1003540147
527 TANNER ST
Carrollton, GA 30117
(770) 537-1234
✔ PECOS11 mi
Nurse Practitioner
NPI 1457021628
527 TANNER ST
Carrollton, GA 30117
(678) 390-6575
✔ PECOS11 mi
Nurse Practitioner
NPI 1295123792
527 TANNER ST
Carrollton, GA 30117
(678) 390-6575
✔ PECOS11 mi
Nurse Practitioner
NPI 1801356027
100 PROFESSIONAL PL STE 202
Carrollton, GA 30117
(770) 832-6861
✔ PECOS11 mi
Nurse Practitioner
NPI 1528438538
706 DIXIE ST STE 200
Carrollton, GA 30117
(770) 812-8640
✔ PECOS11 mi
Nurse Practitioner
NPI 1962851352
107 WEDGEWOOD DR
Carrollton, GA 30117
(678) 390-7070
✔ PECOS12 mi
See all 24 clinicians

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 11D2263011

316 Family Medicine · Bremen, GA
Active · expires Jun 21, 2028
CLIA Number11D2263011
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorAllison K. Key
Laboratory Phone(770) 537-1234
Laboratory Location316 Family Medicine222 Gordon Street, Bremen, GA 30110
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 316 Family Medicine's NPI number?

The NPI number for 316 Family Medicine is 1861915647. It was assigned to this organization in the NPPES registry on July 24, 2017.

Where is 316 Family Medicine located?

316 Family Medicine is located at 222 Gordon St, Bremen, GA 30110. The listed phone number is (770) 537-1234.

What is 316 Family Medicine's specialty?

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

Is 316 Family Medicine enrolled in Medicare?

Yes. 316 Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 316 Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 2 Medicare specialties reassign their Medicare billing to 316 Family Medicine. 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. The largest specialties are Nurse Practitioner (21) and Family Practice (3). Of these, 6 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does 316 Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2263011) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does 316 Family Medicine accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list 316 Family Medicine 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 316 Family Medicine was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.