GOGA VUKOTIC, MD PC
NPI 1952580177
Internal Medicine in Roswell, GA

Active since October 25, 2007CLIA 11D1013720 · Waiver
11050 CRABAPPLE RD, BLDG. A STE 104-B, ROSWELL, GA 30075(770) 645-0017(770) 645-0024 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Goga Vukotic, Md Pc NPPES

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

GOGA VUKOTIC, MD PC (NPI 1952580177) is a healthcare organization registered as an internal medicine in Roswell, Georgia and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Ognjenka Goga Brkic-vukotic, Physician, as its authorized official.

NPPES Registry Identity

NPI1952580177
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTH ROSWELL INTERNAL MEDICINE, PC
Location Address11050 CRABAPPLE RD, BLDG. A STE 104-BRoswell, GA 30075-2489
Mailing Address11050 Crabapple Rd, Bldg. A Ste 104-bRoswell, GA 30075-2489 · (770) 645-0017 · Fax (770) 645-0024
Fax(770) 645-0024
Organization SubpartNo
Authorized OfficialOgnjenka Goga Brkic-vukoticPhysician · (770) 645-0017
Enumeration DateOctober 25, 2007
Last NPPES UpdateJuly 28, 2010
✔ NPI 1952580177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 047576
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11050 CRABAPPLE RD, Roswell, GA 30075

Other Names 1

Other NameGoga Vukotic, Md Pc

Other Identifiers 2

Medicare UPINH06378GA
Medicare PIN11BDWTXGA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goga Vukotic, Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Goga Vukotic, MD PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Internal Medicine
NPI 1023067147
11050 CRABAPPLE RD SUITE 104 B
Roswell, GA 30075
(770) 645-0017
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750169504
11050 CRABAPPLE ROAD BLDG. A, SUITE 104-B
Roswell, GA 30075
(770) 645-0017
✔ PECOSSame address
Family Practice
NPI 1962799734
11050 CRABAPPLE RD 104 B
Roswell, GA 30075
(770) 645-0017
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831315431
11050 CRABAPPLE ROAD SUITE104 B
Roswell, GA 30075
(770) 645-0017
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730786047
687 JOHNSON FERRY RD # 7044
Marietta, GA 30068
(770) 977-9220
✔ PECOS✔ Accepts Medicare6.6 mi
Internal Medicine
NPI 1124012554
140 VANN ST NE
Marietta, GA 30060
(770) 419-0020
✔ PECOS✔ Accepts Medicare12 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 11D1013720

North Roswell Internal Medicine · Roswell, GA
Active · expires Jun 15, 2027
CLIA Number11D1013720
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorGoga O. Vukotic MD
Laboratory Phone(770) 645-0017
Laboratory LocationNorth Roswell Internal Medicine11050 Crabapple Road Building A, Ste 104 B, Roswell, GA 30075
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 North Roswell Internal Medicine, PC's NPI number?

The NPI number for North Roswell Internal Medicine, PC is 1952580177. It was assigned to this organization in the NPPES registry on October 25, 2007. The provider is also known as Goga Vukotic, MD PC.

Where is North Roswell Internal Medicine, PC located?

North Roswell Internal Medicine, PC is located at 11050 Crabapple Rd Bldg. A Ste 104-B, Roswell, GA 30075. The listed phone number is (770) 645-0017.

What is North Roswell Internal Medicine, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is North Roswell Internal Medicine, PC enrolled in Medicare?

Yes. North Roswell Internal Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Roswell Internal Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to North Roswell Internal Medicine, PC. 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 (3), Internal Medicine (2) and Family Practice (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Roswell Internal Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1013720) is associated with this NPI, valid through June 15, 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 North Roswell Internal Medicine, PC was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.