SOMERSET MEDICAL LLC
NPI 1992536213
Family Medicine in Atlanta, GA

Active since August 08, 2024CLIA 11D2323896 · Waiver
659 AUBURN AVE NE STE 505, ATLANTA, GA 30312(404) 444-9418 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Somerset Medical Llc NPPES

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

SOMERSET MEDICAL LLC (NPI 1992536213) is a healthcare organization registered as a family medicine in Atlanta, Georgia and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Nicholas Church, Founder / Physician, as its authorized official.

NPPES Registry Identity

NPI1992536213
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOMERSET MEDICAL LLC
Location Address659 AUBURN AVE NE STE 505Atlanta, GA 30312-1903
Mailing Address815 Myrtle St NeAtlanta, GA 30308-4309 · (404) 444-9418
Organization SubpartNo
Authorized OfficialNicholas ChurchFounder / Physician · (404) 444-9418
Enumeration DateAugust 8, 2024
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1992536213 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.
659 AUBURN AVE NE STE 505, Atlanta, GA 30312

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)

Somerset Medical 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 Somerset Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1033317011
2801 N DECATUR RD SUITE 295
Decatur, GA 30033
(404) 778-6400
✔ PECOS✔ Accepts Medicare5.7 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 11D2323896

Somerset Medical · Atlanta, GA
Active · expires May 14, 2027
CLIA Number11D2323896
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorNicholas Church
Laboratory Phone(470) 666-5567
Laboratory LocationSomerset Medical659 Auburn Avenue #505, Atlanta, GA 30312
CLIA data matches this NPI record on: Name
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 Somerset Medical LLC's NPI number?

The NPI number for Somerset Medical LLC is 1992536213. It was assigned to this organization in the NPPES registry on August 8, 2024.

Where is Somerset Medical LLC located?

Somerset Medical LLC is located at 659 Auburn Ave NE Ste 505, Atlanta, GA 30312. The listed phone number is (404) 444-9418.

What is Somerset Medical LLC's specialty?

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

Is Somerset Medical LLC enrolled in Medicare?

Yes. Somerset Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Somerset Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Somerset Medical 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 Somerset Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2323896) is associated with this NPI, valid through May 14, 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 Somerset Medical LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.