Organization Active NPI

Next Genomix Laboratories, Inc

  • Clinical Medical Laboratory
  • Norcross, GA
National Provider Identifier
1912481508
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003218582AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 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
11D2154238Next Genomix Laboratories6270 McDonough Drive, Suite G, Norcross, GA 30093AccreditationApr 30, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.