EXPRESS CLINIC, LLC – NPI #1023768090
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

EXPRESS CLINIC, LLC is a provider located in DULUTH, GA. NPPES has assigned the NPI number 1023768090 to EXPRESS CLINIC, LLC on March 24, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. EXPRESS CLINIC, LLC is also known by the name EXPRESS CLINIC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Aug 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXPRESS CLINIC, LLC below.

NPI Profile for
EXPRESS CLINIC, LLC

NPI Number
1023768090
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXPRESS CLINIC, LLC
Other Name: EXPRESS CLINIC
Primary location
3350 STEVE REYNOLDS BLVD
STE 408
DULUTH, GA 30096
Phone: (678) 783-4449 Fax:
Mailing address
3628 SATELLITE BLVD UNIT 958236
DULUTH, GA 30095-0489
Phone: Fax:
Organization Subpart
No
Authorized Official
SOLOMON MATOVU
CEO
Phone: (678) 783-4927
Updated
Certification Date
Jul 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.