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RIVER PARC INTERNAL MEDICINE
NPI 1912366931
Clinic/Center in Duluth, GA

Active since February 18, 2016CLIA 11D1050147 · Waiver
4855 RIVER GREEN PKWY STE 140, DULUTH, GA 30096(678) 417-0077(678) 417-0337 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About River Parc Internal Medicine NPPES

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

RIVER PARC INTERNAL MEDICINE (NPI 1912366931) is a healthcare organization registered as a clinic/center in Duluth, Georgia and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Young Kang, Md, as its authorized official.

NPPES Registry Identity

NPI1912366931
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRIVER PARC INTERNAL MEDICINE
Location Address4855 RIVER GREEN PKWY STE 140Duluth, GA 30096-8333
Mailing Address4855 River Green Pkwy Ste 140Duluth, GA 30096-8333 · (678) 417-0077 · Fax (678) 417-0337
Phone(678) 417-0077
Fax(678) 417-0337
Organization SubpartNo
Authorized OfficialYoung KangMd · (678) 417-0077
Enumeration DateFebruary 18, 2016
✔ NPI 1912366931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · RN193179
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4855 RIVER GREEN PKWY STE 140, Duluth, GA 30096
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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 11D1050147

River Parc Internal Medicine · Duluth, GA
Active · expires Jan 25, 2028
CLIA Number11D1050147
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorYoung W. Kang
Laboratory Phone(678) 417-0077
Laboratory LocationRiver Parc Internal Medicine4855 River Green Parkway, Suite 140, Duluth, GA 30096
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 5

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

EVEREST HEALTH MANAGEMENT LLC
Internal Medicine
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077
RUTH SOK
Nurse Practitioner (Family)
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077
EMILY MIMI KANG
Internal Medicine
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077
EVEREST HEALTHCARE PARTNERS LLC
Internal Medicine
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077
YOUNG WON KANG MD
Internal Medicine (Adolescent Medicine)
4855 RIVER GREEN PKWY STE 140
DULUTH, GA 30096
Gwinnett County (678) 417-0077

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 River Parc Internal Medicine's NPI number?

The NPI number for River Parc Internal Medicine is 1912366931. It was assigned to this organization in the NPPES registry on February 18, 2016.

Where is River Parc Internal Medicine located?

River Parc Internal Medicine is located at 4855 River Green Pkwy Ste 140, Duluth, GA 30096. The listed phone number is (678) 417-0077.

What is River Parc Internal Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does River Parc Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1050147) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for River Parc Internal Medicine was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.