PRACTITONERS COMMUNITY CARE
NPI 1043860554
Nurse Practitioner - Primary Care in Douglasville, GA
About Practitoners Community Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRACTITONERS COMMUNITY CARE (NPI 1043860554) is a healthcare organization registered as a primary care in Douglasville, Georgia and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Sheila Renee Littles, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Practitoners Community Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Practitoners Community Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D2175571
Practitioners Community Care · Douglasville, GAFrequently 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 Practitoners Community Care's NPI number?
The NPI number for Practitoners Community Care is 1043860554. It was assigned to this organization in the NPPES registry on September 17, 2019.
Where is Practitoners Community Care located?
Practitoners Community Care is located at 2022 Highway 92 Fairburn Rd Ste F, Douglasville, GA 30135. The listed phone number is (770) 374-7062.
What is Practitoners Community Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Practitoners Community Care enrolled in Medicare?
Yes. Practitoners Community Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Practitoners Community Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Practitoners Community Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Practitoners Community Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2175571) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Practitoners Community Care was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Practitoners Community Care · NPI 1043860554
Primary Care organization in Douglasville, Georgia. Organization record, active in the CMS NPPES registry since September 17, 2019.
## Identity
- **NPI:** 1043860554 (Entity type: Organization)
- **Enumerated:** September 17, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Sheila Littles, NURSE PRACTITIONER
## Practice location
- **Address:** 2022 HIGHWAY 92 FAIRBURN RD STE F, Douglasville, GA 30135-1062
- **Phone:** (770) 374-7062
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2026
- **Other identifiers:** Other Q03882281 (GA); Medicaid 003227729B (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043860554) · Data from the CMS NPPES public registry.