Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mini-Med Clinic of North Georgia, LLC

Clinic/Center in Canton, GA · enumerated 2021 · authorized official Sophia Kennedy, Nurse Practitioner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124792106

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Mini-Med Clinic of North Georgia, LLC

Other name <Unavail>

Practice address 5113 Holly Springs Parkway, Canton, GA, 30115

Phone (470) 331-3544

Enumeration date Aug 4, 2021

Last updated in NPPES Aug 27, 2021

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Sophia Kennedy

Title Nurse Practitioner

Phone (678) 398-9697

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Mini-Med Clinic of North Georgia, LLC?

Mini-Med Clinic of North Georgia, LLC is registered in NPPES as a Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-27.