Comprehensive Medical Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMPREHENSIVE MEDICAL CLINIC LLC

Practice address

6131 S Norcross Tucker Rd Ste 6
Norcross, GA 30093-5536

Phone

(470) 766-7246

Fax

(770) 423-9503

NPI assigned

Feb 3, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Vincent Moore Jr.

Title

President

Phone

(404) 884-3321

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ademola Adebayo Opanuga, M.D.

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1255584355
  NPD (past)

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1235835968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD STE 6",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935536",
            "telephone_number": "470-766-7246",
            "fax_number": "770-423-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD STE 6",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935536",
            "telephone_number": "470-766-7246",
            "fax_number": "770-423-9503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3885 Princeton Lakes Way SW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303315599",
            "country_code": "US",
            "telephone_number": "470-766-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3433 Main St",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "GA",
            "postal_code": "303371911",
            "country_code": "US",
            "telephone_number": "470-766-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Forsyth St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312011183",
            "country_code": "US",
            "telephone_number": "770-573-7246",
            "fax_number": "770-679-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-884-3321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne R Comerford, M.S., CCC-SLP
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• Meagan Breanne Connally

• Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.