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GUTHERY FAMILY PRACTICE CLINIC
NPI 1902400559
Family Medicine in Villa Rica, GA

Active since November 24, 2020CLIA 11D2204122 · Waiver
412 WESTVIEW DR, VILLA RICA, GA 30180(770) 462-1100(770) 462-1105 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2025, Dec 7, 2021, Dec 9, 2020 and 1 more (4 updates tracked since 2020).

About Guthery Family Practice Clinic NPPES

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

GUTHERY FAMILY PRACTICE CLINIC (NPI 1902400559) is a healthcare organization registered as a family medicine in Villa Rica, Georgia and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through December 7, 2026, maintains a secondary practice location in Villa Rica, and lists Henry Charles Guthery, Physician, as its authorized official.

NPPES Registry Identity

NPI1902400559
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGUTHERY FAMILY PRACTICE CLINIC
Location Address412 WESTVIEW DRVilla Rica, GA 30180-1717
Mailing Address412 Westview DrVilla Rica, GA 30180-1717 · (770) 462-1100 · Fax (770) 462-1105
Phone(770) 462-1100
Fax(770) 462-1105
Organization SubpartNo
Authorized OfficialHenry Charles GutheryPhysician · (770) 462-1100
Enumeration DateNovember 24, 2020
Last NPPES UpdateJuly 24, 20254 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1902400559 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.
412 WESTVIEW DR, Villa Rica, GA 30180
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Secondary Practice Location 1

Location 1809 W Bankhead Hwy Ste DVilla Rica, GA 30180-1520 · Phone (770) 462-1100 · Fax (770) 462-1105

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

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 11D2204122

Guthery Family Practice Clinic, LLC · Villa Rica, GA
Active · expires Dec 7, 2026
CLIA Number11D2204122
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorHenry C. Guthery
Laboratory Phone(678) 615-9519
Laboratory LocationGuthery Family Practice Clinic, LLC809 W Bankhead Hwy, Suite D, Villa Rica, GA 30180
CLIA data matches this NPI record on: Address Name
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.

DR. HENRY CHARLES GUTHERY III MD
Family Medicine
412 WESTVIEW DR
VILLA RICA, GA 30180
Carroll County (770) 462-1100

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 Guthery Family Practice Clinic's NPI number?

The NPI number for Guthery Family Practice Clinic is 1902400559. It was assigned to this organization in the NPPES registry on November 24, 2020.

Where is Guthery Family Practice Clinic located?

Guthery Family Practice Clinic is located at 412 Westview Dr, Villa Rica, GA 30180. The listed phone number is (770) 462-1100.

What is Guthery Family Practice Clinic's specialty?

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

Does Guthery Family Practice Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2204122) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Guthery Family Practice Clinic was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.