INNER COMMUNITY HEALTH
NPI 1891398541
Psychiatry & Neurology - Psychiatry in Duluth, GA

Active since November 17, 2020CLIA 11D2277193 · Waiver
2180 SATELLITE BLVD STE 400, DULUTH, GA 30097(800) 620-6950(877) 290-0408 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2023, Oct 18, 2022, Nov 17, 2020 (3 updates tracked since 2020).

About Inner Community Health NPPES

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

INNER COMMUNITY HEALTH (NPI 1891398541) is a healthcare organization registered as a psychiatry in Duluth, Georgia and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through January 15, 2027, maintains a secondary practice location in Riverdale, and lists Mirica Sanders, Owner, as its authorized official.

NPPES Registry Identity

NPI1891398541
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameINNER COMMUNITY HEALTH
Location Address2180 SATELLITE BLVD STE 400Duluth, GA 30097-4927
Mailing Address2180 Satellite Blvd Ste 400Duluth, GA 30097-4927
Fax(877) 290-0408
Organization SubpartNo
Authorized OfficialMirica SandersOwner · (216) 577-3441
Enumeration DateNovember 17, 2020
Last NPPES UpdateNovember 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1891398541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2180 SATELLITE BLVD STE 400, Duluth, GA 30097

Secondary Practice Location 1

Location 1223 Medical Center DrRiverdale, GA 30274-2640 · Phone (800) 620-6950 · Fax (877) 290-0408

Other Identifiers 1

Medicaid003291824AGA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inner Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Inner Community Health, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner12
Psychiatry5

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1003490764
250 CONSTITUTION BLVD
Lawrenceville, GA 30046
(470) 844-0157
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1811506272
4402 LAWRENCEVILLE RD STE 216
Loganville, GA 30052
(678) 830-2307
✔ PECOS✔ Accepts Medicare15 mi
Psychiatry
NPI 1801113204
2801 BUFORD HWY NE STE 275
Brookhaven, GA 30329
(404) 490-1785
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1871763805
160 CLAIREMONT AVE
Decatur, GA 30030
(404) 500-4266
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1396230413
10 PARK PL NE
Atlanta, GA 30303
(404) 616-1480
✔ PECOS✔ Accepts Medicare23 mi
Psychiatry
NPI 1497245203
200 WISTERIA DR
Gainesville, GA 30501
(770) 219-9000
✔ PECOS✔ Accepts Medicare27 mi
Psychiatry
NPI 1609396035
1625 HOSPITAL NORTH DR STE 150
Austell, GA 30106
(470) 732-6950
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1275886103
5220 ROSEWOOD PL
Fairburn, GA 30213
(901) 277-7086
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1891475430
825 BELMAR PASS
Fairburn, GA 30213
(229) 603-2601
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1205327764
1684 THORN RIDGE TRL
Hampton, GA 30228
(614) 599-3617
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1982391629
110 W PIER WAY # A
Fayetteville, GA 30214
(908) 906-0931
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1972257012
300 PRIME PT STE 201
Peachtree City, GA 30269
(770) 337-0482
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1548790496
1209 GREENBELT DR
Griffin, GA 30224
(770) 358-8338
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1124537063
1209 GREENBELT DR
Griffin, GA 30224
(770) 358-5252
✔ PECOS52 mi
Nurse Practitioner
NPI 1356755128
1400 GRAY HWY APT 808
Macon, GA 31211
(478) 258-8585
✔ PECOS82 mi
Psychiatry
NPI 1013178334
2900 SUNSET BLVD
West Columbia, SC 29169
(803) 744-3205
✔ PECOS✔ Accepts Medicare171 mi
Psychiatry
NPI 1336466820
6995 WOODLANDS LN
Solon, OH 44139
(216) 577-3441
✔ PECOS✔ Accepts Medicare530 mi

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 11D2277193

Inner Community Health · Duluth, GA
Active · expires Jan 15, 2027
CLIA Number11D2277193
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorMirica A. Sanders
Laboratory Phone(800) 620-6950
Laboratory LocationInner Community Health10700 Medlock Bridge Road, Suite 104, Duluth, GA 30097
CLIA data matches this NPI record on: 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 Inner Community Health's NPI number?

The NPI number for Inner Community Health is 1891398541. It was assigned to this organization in the NPPES registry on November 17, 2020.

Where is Inner Community Health located?

Inner Community Health is located at 2180 Satellite Blvd Ste 400, Duluth, GA 30097. The listed phone number is (800) 620-6950.

What is Inner Community Health's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Inner Community Health enrolled in Medicare?

Yes. Inner Community Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inner Community Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Inner Community Health. 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 (12) and Psychiatry (5). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Inner Community Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2277193) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Inner Community Health accept?

Health plans from CareSource list Inner Community Health 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 Inner Community Health was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.