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: October 25, 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

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 Health Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Atlanta Health Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pain Management
NPI 1699333179
4905 LAVISTA RD STE B
Tucker, GA 30084
(770) 680-5740
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1740267640
1395 S MARIETTA PKWY SE BLDG 100 STE 102
Marietta, GA 30067
(770) 425-8700
✔ PECOS✔ Accepts Medicare18 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 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.

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.

Is Atlanta Health Center PC enrolled in Medicare?

Yes. Atlanta Health Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta Health Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Atlanta Health Center PC, in Pain Management and Physical Medicine and Rehabilitation. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 16 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.