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CONYERS INTERNAL MEDICINE LLC
NPI 1063752913
Internal Medicine in Conyers, GA

Active since February 28, 2013CLIA 11D0979241 · Waiver
1380 MILSTEAD AVE NE, STE C, CONYERS, GA 30012(770) 922-7000 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Conyers Internal Medicine Llc NPPES

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

CONYERS INTERNAL MEDICINE LLC (NPI 1063752913) is a healthcare organization registered as an internal medicine in Conyers, Georgia and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Naseem K Shakoor, Owner, as its authorized official.

NPPES Registry Identity

NPI1063752913
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONYERS INTERNAL MEDICINE LLC
Location Address1380 MILSTEAD AVE NE, STE CConyers, GA 30012-3864
Mailing Address1380 Milstead Ave Ne, Ste CConyers, GA 30012-3864 · (770) 922-7000
Phone(770) 922-7000
Organization SubpartNo
Authorized OfficialNaseem K ShakoorOwner · (770) 922-7000
Enumeration DateFebruary 28, 2013
✔ NPI 1063752913 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.

1380 MILSTEAD AVE NE, Conyers, GA 30012
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 11D0979241

Conyers Internal Medicine · Conyers, GA
Active · expires Jan 8, 2027
CLIA Number11D0979241
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorDr. Karim Shakoor
Laboratory Phone(770) 918-2555
Laboratory LocationConyers Internal Medicine1805 Honey Creek Commons, Suite C, Conyers, GA 30013
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

THE ATLANTA CARDIOLOYG GROUP, PC
Internal Medicine (Cardiovascular Disease)
1380 MILSTEAD AVE NE, SUITE E
CONYERS, GA 30012
Rockdale County (770) 483-9330
DR. HOLLY ANNE IMLACH M.D.
Obstetrics & Gynecology (Gynecology)
1380 MILSTEAD AVE NE, SUITE E
CONYERS, GA 30012
Rockdale County (678) 609-4913
PEDIATRIC CARDIOLOGY SERVICES LLC
Pediatrics (Pediatric Cardiology)
1380 MILSTEAD AVE NE, SUITE J
CONYERS, GA 30012
Rockdale County (770) 995-6684
JULIANNE ADAMS BIRT, MD, LLC
Obstetrics & Gynecology
1380 MILSTEAD AVE NE, SUITE F
CONYERS, GA 30012
Rockdale County (404) 906-5906
SHIRAZ HABIB KASSAM
Obstetrics & Gynecology (Obstetrics)
1380 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 922-2424
DR. KARIM K SHAKOOR M.D.
Internal Medicine (Gastroenterology)
1380 MILSTEAD AVE NE, SUITE C
CONYERS, GA 30012
Rockdale County (770) 922-7000
DR. NASEEM SHAKOOR M.D.
Internal Medicine
1380 MILSTEAD AVE NE, SUITE-C
CONYERS, GA 30012
Rockdale County (770) 922-7000
KARIM SHAKOOR, M.D.,P.C.
Internal Medicine
1380 MILSTEAD AVE NE, SUITE-C
CONYERS, GA 30012
Rockdale County (770) 922-7000

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 Conyers Internal Medicine LLC's NPI number?

The NPI number for Conyers Internal Medicine LLC is 1063752913. It was assigned to this organization in the NPPES registry on February 28, 2013.

Where is Conyers Internal Medicine LLC located?

Conyers Internal Medicine LLC is located at 1380 Milstead Ave NE Ste C, Conyers, GA 30012. The listed phone number is (770) 922-7000.

What is Conyers Internal Medicine LLC's specialty?

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

Does Conyers Internal Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0979241) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conyers Internal Medicine LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Conyers Internal Medicine LLC 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 Conyers Internal Medicine LLC was last updated on February 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.