Organization Active NPI

4 Plus 1 Enterprises, LLC

  • Clinical Medical Laboratory
  • Lawrenceville, GA
National Provider Identifier
1174478283
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
4 PLUS 1 ENTERPRISES, LLC
Practice address
150 Stanley CT Ste B
Lawrenceville, GA 30046-5215
Phone
(678) 373-6097
Fax
(404) 531-7574
NPI assigned
Mar 3, 2026
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
4 PLUS 1 ENTERPRISES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jasmine Nicole HutchinsonNPI 1780318576
Title
Admin
Phone
(424) 204-3403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

150 Stanley CT Ste B
Lawrenceville, GA 30046-5215

Mailing address

1710 Timberline Trce
Snellville, GA 30078-6675
Phone (678) 373-6097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221213000860 GA Part B Supplier - Independent Clinical Laboratory 5092184101 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lawrenceville, GA; Snellville, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D22696094 Plus 1 Enterprises, LLC150 Stanley Court, Suite B, Lawrenceville, GA 30046Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
4 Plus 1 Enterprises LLC2 organizations share this tax ID, including this one
Part of
4 Plus 1 Enterprises LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1174478283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 TIMBERLINE TRCE",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786675",
            "telephone_number": "678-373-6097",
            "fax_number": "404-531-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 STANLEY CT STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465215",
            "telephone_number": "678-373-6097",
            "fax_number": "404-531-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 PLUS 1 ENTERPRISES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "4 PLUS 1 ENTERPRISES, LLC",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "424-204-3403"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.