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CENTENNIAL JOINT CARE INC
NPI 1063172625
Internal Medicine in Buford, GA

Active since December 23, 2021
4700 NELSON BROGDON BLVD STE 220, BUFORD, GA 30518(770) 904-9014 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, Jan 15, 2026, Sep 12, 2025 and 3 more (6 updates tracked since 2021).

About Centennial Joint Care Inc NPPES

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

CENTENNIAL JOINT CARE INC (NPI 1063172625) is a healthcare organization registered as an internal medicine in Buford, Georgia and active in the NPI registry since December 2021. The organization lists Jack Wright, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1063172625
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTENNIAL JOINT CARE INC
Location Address4700 NELSON BROGDON BLVD STE 220Buford, GA 30518-5401
Mailing Address4700 Nelson Brogdon Blvd Ste 210Buford, GA 30518-5401 · (770) 904-9014 · Fax (770) 904-9011
Phone(770) 904-9014
Organization SubpartNo
Authorized OfficialJack WrightManaging Partner · (770) 904-9014
Enumeration DateDecember 23, 2021
Last NPPES UpdateJune 27, 20266 updates tracked since enumeration
NPPES CertifiedJune 27, 2026
✔ NPI 1063172625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4700 NELSON BROGDON BLVD STE 220, Buford, GA 30518
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centennial Joint Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20220125000075Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Centennial Joint Care Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Sarina Pakhamma, NP
Nurse Practitioner
NPI 1811601032
4700 NELSON BROGDON BLVD STE 220
Buford, GA 30518
(770) 904-9014
✔ PECOS✔ Accepts MedicareSame address
Lela Sandiford, ARNP
Nurse Practitioner
NPI 1952958787
3286 BUCKEYE RD
Atlanta, GA 30341
(404) 267-5566
✔ PECOS✔ Accepts Medicare20 mi
Christina Gary, FNP
Nurse Practitioner
NPI 1750951349
1745 OLD SPRING HOUSE LN
Dunwoody, GA 30338
(706) 814-8871
✔ PECOS✔ Accepts Medicare21 mi
Julie Tiegs, FNP
Nurse Practitioner
NPI 1821641416
5431 LITTLE RIVER CIR
Gainesville, GA 30506
(615) 295-0788
✔ PECOS✔ Accepts Medicare21 mi
Judith Currie, NP
Nurse Practitioner
NPI 1134784481
1150 HAMMOND DR STE 310
Atlanta, GA 30328
(678) 802-5780
✔ PECOS✔ Accepts Medicare23 mi
Jonathan Cook, DO
Family Practice
NPI 1467443713
700 SUNSET DR STE 400A
Athens, GA 30606
(706) 353-7747
✔ PECOS✔ Accepts Medicare36 mi
Alicia Darby-Bishop
Nurse Practitioner
NPI 1760092134
483 UPPER RIVERDALE RD SW STE F
Riverdale, GA 30274
(470) 895-0610
✔ PECOS✔ Accepts Medicare43 mi
Peter Lee, M.D.
Neurology
NPI 1205828993
300 MEDICAL DR SUITE 701
Lagrange, GA 30240
(706) 882-0552
✔ PECOS✔ Accepts Medicare95 mi
Halimatou Diallo, NP
Nurse Practitioner
NPI 1265189708
651 N HIGHWAY 183 STE 110
Leander, TX 78641
(512) 528-0432
✔ PECOS✔ Accepts Medicare844 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Centennial Joint Care Inc's NPI number?

The NPI number for Centennial Joint Care Inc is 1063172625. It was assigned to this organization in the NPPES registry on December 23, 2021.

Where is Centennial Joint Care Inc located?

Centennial Joint Care Inc is located at 4700 Nelson Brogdon Blvd Ste 220, Buford, GA 30518. The listed phone number is (770) 904-9014.

What is Centennial Joint Care Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Centennial Joint Care Inc enrolled in Medicare?

Yes. Centennial Joint Care Inc is registered in the Medicare PECOS enrollment system.

When is Centennial Joint Care Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Centennial Joint Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Centennial Joint Care Inc. 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. The largest specialties are Nurse Practitioner (7), Family Practice (1) and Neurology (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centennial Joint Care Inc was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.