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CONCENTRA MEDICAL CENTER
NPI 1033128608
Clinic/Center - Health Service in Conyers, GA

Active since August 05, 2006CLIA 11D0257066 · Waiver
1157 WEST AVE., SUITE B, CONYERS, GA 30012(770) 760-0066(770) 922-7599 Get Directions Write a Review

NPPES record last updated: July 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Concentra Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONCENTRA MEDICAL CENTER (NPI 1033128608) is a healthcare organization registered as a health service in Conyers, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists William Tom Fogarty, Senior Vp / Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1033128608
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameOCCUPATIONAL HEALTH CENTERS OF GEORGIA PC
Location Address1157 WEST AVE., SUITE BConyers, GA 30012
Mailing Address5080 Spectrum Drive, Suite 1200 West TowerAddison, TX 75001 · (800) 232-3550
Phone(770) 760-0066
Fax(770) 922-7599
Organization SubpartNo
Authorized OfficialWilliam Tom FogartySenior Vp / Chief Medical Officer · (972) 364-8103
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 14, 2010
✔ NPI 1033128608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
1157 WEST AVE., Conyers, GA 30012
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Other Names 1

Doing Business AsConcentra Medical Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0257066

Concentra Medical Center · Conyers, GA
Active · expires Oct 27, 2026
CLIA Number11D0257066
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorTyrone Butler
Laboratory Phone(770) 760-0066
Laboratory LocationConcentra Medical Center1680 Highway 138, Conyers, GA 30013
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Occupational Health Centers Of Georgia PC's NPI number?

The NPI number for Occupational Health Centers Of Georgia PC is 1033128608. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is doing business as Concentra Medical Center.

Where is Occupational Health Centers Of Georgia PC located?

Occupational Health Centers Of Georgia PC is located at 1157 West Ave. Suite B, Conyers, GA 30012. The listed phone number is (770) 760-0066.

What is Occupational Health Centers Of Georgia PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Occupational Health Centers Of Georgia PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0257066) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Occupational Health Centers Of Georgia PC was last updated on July 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.