Active NPI
Next Genomix Laboratories, Inc
- Clinical Medical Laboratory
- Norcross, GA
National Provider Identifier
1912481508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NEXT GENOMIX LABORATORIES, INC
- Practice address
- 6270 McDonough Dr Ste G
Norcross, GA 30093-1242 - Phone
- (770) 988-6951
- NPI assigned
- Sep 19, 2018
- Last updated
- Jan 22, 2024
- 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
- Michael Mercer
- Title
- Ceo
- Phone
- (770) 988-6951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
6270 McDonough Dr Ste G
Norcross, GA 30093-1242
Mailing address
6270 McDonough Dr Ste G
Norcross, GA 30093-1242
Phone (770) 988-6951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003218582A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190304001747 | GA | Part B Supplier - Independent Clinical Laboratory | 2567701832 | Practice locations: Lawrenceville, GA; Norcross, GA |
| O20241209000066 | TX | Part B Supplier - Independent Clinical Laboratory | 2567701832 | Practice locations: Bedford, TX |
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 |
|---|---|---|---|
| 11D2154238 | Next Genomix Laboratories | Accreditation | Apr 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
1130 Hurricane Shoals Rd NE
Ste 1800
Lawrenceville, GA 30043
Phone (470) 740-0355
6270 McDonough Dr
Ste G
Norcross, GA 30093
Phone (770) 988-6951
4157 Bedford Rd
Ste 100
Bedford, TX 76021
Phone (833) 922-4645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1912481508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6270 MCDONOUGH DR STE G",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300931242",
"telephone_number": "770-988-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6270 MCDONOUGH DR STE G",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300931242",
"telephone_number": "770-988-6951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXT GENOMIX LABORATORIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-19",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "MERCER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-988-6951"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003218582A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.