Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Conyers Internal Medicine LLC's specialty?

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

Active since February 28, 2013CLIA 11D0979241 · Waiver

1805 HONEY CREEK CMNS SE STE C, CONYERS, GA 30013(770) 918-2555(770) 648-7617 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

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 Address1805 HONEY CREEK CMNS SE STE CConyers, GA 30013-5829

Mailing Address1805 Honey Creek Cmns Se Ste CConyers, GA 30013-5829 · (770) 918-2555 · Fax (770) 648-7617

Phone(770) 918-2555

Fax(770) 648-7617

Organization SubpartNo

Authorized OfficialNaseem K ShakoorOwner · (770) 918-2555

Enumeration DateFebruary 28, 2013

Last NPPES UpdateOctober 28, 2026

NPPES CertifiedOctober 28, 2026

✔ 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.

1805 HONEY CREEK CMNS SE STE C, Conyers, GA 30013

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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conyers Internal Medicine Llc 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 Conyers Internal Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Naseem Shakoor, M.D.

Internal Medicine

NPI 1821109463

1380 MILSTEAD AVE NE SUITE-C
Conyers, GA 30012

(770) 922-7000

✔ PECOS✔ Accepts Medicare6.1 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 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 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 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 1805 Honey Creek Cmns SE Ste C, Conyers, GA 30013. The listed phone number is (770) 918-2555.

What is Conyers Internal Medicine LLC's specialty?

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

Is Conyers Internal Medicine LLC enrolled in Medicare?

Yes. Conyers Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conyers Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Conyers Internal Medicine LLC. 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 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 October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.