ATLANTA WEST PRIMARY CARE ASSOCIATES PC
NPI 1053689273
Family Medicine in Lithia Springs, GA

Active since December 02, 2011CLIA 11D1026135 · Waiver
939 THORNTON ROAD, LITHIA SPRINGS, GA 30122(770) 948-5400(770) 948-4930 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Atlanta West Primary Care Associates Pc NPPES

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

ATLANTA WEST PRIMARY CARE ASSOCIATES PC (NPI 1053689273) is a healthcare organization registered as a family medicine in Lithia Springs, Georgia and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through May 26, 2028 and lists Millard James Collier, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053689273
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATLANTA WEST PRIMARY CARE ASSOCIATES PC
Location Address939 THORNTON ROADLithia Springs, GA 30122-2634
Mailing Address939 Thornton RdLithia Springs, GA 30122-2634 · (770) 948-5400 · Fax (770) 948-4930
Fax(770) 948-4930
Organization SubpartNo
Authorized OfficialMillard James CollierMedical Director · (770) 948-5400
Enumeration DateDecember 2, 2011
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1053689273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 28114
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
939 THORNTON ROAD, Lithia Springs, GA 30122

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlanta West Primary Care Associates Pc 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 Atlanta West Primary Care Associates PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1306860044
939 THORNTON RD
Lithia Springs, GA 30122
(770) 948-5400
✔ PECOS✔ Accepts Medicare0.1 mi

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 11D1026135

Atlanta West Primary Care PC · Lithia Springs, GA
Active · expires May 26, 2028
CLIA Number11D1026135
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorMillard J. Collier Jr
Laboratory Phone(770) 948-5400
Laboratory LocationAtlanta West Primary Care PC939 Thornton Road, Lithia Springs, GA 30122
CLIA data matches this NPI record on: Address 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 Atlanta West Primary Care Associates PC's NPI number?

The NPI number for Atlanta West Primary Care Associates PC is 1053689273. It was assigned to this organization in the NPPES registry on December 2, 2011.

Where is Atlanta West Primary Care Associates PC located?

Atlanta West Primary Care Associates PC is located at 939 Thornton Road, Lithia Springs, GA 30122. The listed phone number is (770) 948-5400.

What is Atlanta West Primary Care Associates PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Atlanta West Primary Care Associates PC enrolled in Medicare?

Yes. Atlanta West Primary Care Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta West Primary Care Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Atlanta West Primary Care Associates PC. 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 Atlanta West Primary Care Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1026135) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlanta West Primary Care Associates PC was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.