Active NPI
Clairmont Medical Clinic LLC Belachew Yohannes a Ei Al MBR
- Primary Care Clinic/Center
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CLAIRMONT MEDICAL CLINIC LLC BELACHEW YOHANNES A EI AL MBR
- Practice address
- 3490 Clairmont Rd
Atlanta, GA 30319 - Phone
- (404) 477-1218
- NPI assigned
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yohannes A Belachew, MD
- Title
- Owner
- Phone
- (404) 477-1218
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | GA | ||
| Primary Care Clinic/Center | 261QP2300X | GA | Primary |
Addresses
Primary practice location
3490 Clairmont Rd
Atlanta, GA 30319
Mailing address
3490 Clairmont Rd NE
Atlanta, GA 30319-3758
Phone (404) 477-1218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1059979 | Clairmont Medical Clinic | Certificate of waiver | Oct 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
3490 Clairmont Rd NE
Brookhaven, GA 30319
Phone (404) 477-1218
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1871586693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1659552115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3490 CLAIRMONT RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303193758",
"telephone_number": "404-477-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 CLAIRMONT RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30319",
"telephone_number": "404-477-1218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAIRMONT MEDICAL CLINIC LLC BELACHEW YOHANNES A EI AL MBR",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BELACHEW",
"authorized_official_first_name": "YOHANNES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-477-1218",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.