PREFERRED FAMILY MEDICINE LLC
NPI 1932890159
Clinic/Center - Primary Care in Douglas, GA
About Preferred Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREFERRED FAMILY MEDICINE LLC (NPI 1932890159) is a healthcare organization registered as a primary care in Douglas, Georgia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Michele G Walls, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Preferred Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Preferred Family Medicine LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2285161
Preferred Family Medicine, LLC · Douglas, GAFrequently 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 Preferred Family Medicine LLC's NPI number?
The NPI number for Preferred Family Medicine LLC is 1932890159. It was assigned to this organization in the NPPES registry on May 18, 2023.
Where is Preferred Family Medicine LLC located?
Preferred Family Medicine LLC is located at 1311 Ocilla Rd, Douglas, GA 31533. The listed phone number is (229) 425-3809.
What is Preferred Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Preferred Family Medicine LLC enrolled in Medicare?
Yes. Preferred Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Preferred Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Preferred Family Medicine LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Preferred Family Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2285161) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Preferred Family Medicine LLC was last updated on May 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Preferred Family Medicine Llc · NPI 1932890159
Primary Care organization in Douglas, Georgia. Organization record, active in the CMS NPPES registry since May 18, 2023.
## Identity
- **NPI:** 1932890159 (Entity type: Organization)
- **Enumerated:** May 18, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Michele Walls, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 1311 OCILLA RD, Douglas, GA 31533-2213
- **Phone:** (229) 425-3809
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932890159) · Data from the CMS NPPES public registry.