ATLANTA HEALTH CENTER PC
NPI 1063110328
Clinic/Center - Pain in Tucker, GA

Active since February 16, 2023CLIA 11D2298343 · Waiver
4905 LAVISTA RD STE B, TUCKER, GA 30084(770) 680-5740(888) 418-8738 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, May 9, 2025, May 23, 2023 and 1 more (4 updates tracked since 2023).

About Atlanta Health Center Pc NPPES

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

ATLANTA HEALTH CENTER PC (NPI 1063110328) is a healthcare organization registered as a pain in Tucker, Georgia and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Ohad Kott, Owner, as its authorized official.

NPPES Registry Identity

NPI1063110328
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameATLANTA HEALTH CENTER PC
Location Address4905 LAVISTA RD STE BTucker, GA 30084-4409
Mailing Address4905 Lavista Rd Ste BTucker, GA 30084-4409 · (770) 680-5740 · Fax (888) 418-8738
Fax(888) 418-8738
Organization SubpartNo
Authorized OfficialOhad KottOwner · (770) 680-5740
Enumeration DateFebruary 16, 2023
Last NPPES UpdateJune 30, 20254 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1063110328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
4905 LAVISTA RD STE B, Tucker, GA 30084

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 11D2298343

Atlanta Health Center PC · Tucker, GA
Active · expires Jan 31, 2028
CLIA Number11D2298343
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorOhad Kott
Laboratory Phone(770) 680-5740
Laboratory LocationAtlanta Health Center PC4905 Lavista Road, Suite B, Tucker, GA 30084
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
4905 LAVISTA RD STE B
TUCKER, GA 30084

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 Health Center PC's NPI number?

The NPI number for Atlanta Health Center PC is 1063110328. It was assigned to this organization in the NPPES registry on February 16, 2023.

Where is Atlanta Health Center PC located?

Atlanta Health Center PC is located at 4905 Lavista Rd Ste B, Tucker, GA 30084. The listed phone number is (770) 680-5740.

What is Atlanta Health Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Atlanta Health Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2298343) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atlanta Health Center PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Atlanta Health Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atlanta Health Center PC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.