NPIMap

Organization Active NPI

Cerium Family Practice and Urgent Medicine, LLC

  • Primary Care Clinic/Center
  • Tucker, GA
National Provider Identifier
1780280776
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CERIUM FAMILY PRACTICE AND URGENT MEDICINE, LLC
Practice address
2799 Lawrenceville Hwy
Suite 104
Tucker, GA 30084
Phone
(404) 297-3440
Fax
(770) 741-0948
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Dr. Sondi Moore-Waters, MDNPI 1508941501
Title
Physician
Phone
(404) 296-8100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2799 Lawrenceville Hwy
Suite 104
Tucker, GA 30084

Mailing address

2799 Lawrenceville Hwy Ste 104
Decatur, GA 30033-2517
Phone (042) 968-1004

Other names 1

  • Cerium Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210129000458 GA Part B Supplier - Clinic/Group Practice 8820402001 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

National Provider Directory

National Provider Directory

Locations

2260 Northlake Pkwy
Ste 300B
Tucker, GA 30084

2260 Northlake Pkwy
Ste 300
Tucker, GA 30084
Phone (404) 296-8100

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1780280776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 LAWRENCEVILLE HWY STE 104",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332517",
            "telephone_number": "042-968-1004",
            "fax_number": "770-741-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 LAWRENCEVILLE HWY",
            "address_2": "SUITE 104",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "404-297-3440",
            "fax_number": "770-741-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERIUM FAMILY PRACTICE AND URGENT MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "MOORE-WATERS",
        "authorized_official_first_name": "SONDI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-296-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerium Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cerium Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.