Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MEDICAL ASSOCIATES PROFESSIONAL SERVICES, LLC
NPI 1083041867
Internal Medicine in Canton, GA

Q: What is Medical Associates Professional Services, LLC's specialty?

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

Active since October 11, 2013CLIA 11D0256158 · Waiver

320 HOSPITAL RD, CANTON, GA 30114(855) 709-4535 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Jun 2, 2025, Jan 11, 2023 (3 updates tracked since 2023).

On this page

About Medical Associates Professional Services, Llc NPPES

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

MEDICAL ASSOCIATES PROFESSIONAL SERVICES, LLC (NPI 1083041867) is a healthcare organization registered as an internal medicine in Canton, Georgia and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Amy E Fouts, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1083041867

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMEDICAL ASSOCIATES PROFESSIONAL SERVICES, LLC

Location Address320 HOSPITAL RDCanton, GA 30114-2432

Mailing Address1100 Johnson Ferry Rd Ste 780Sandy Springs, GA 30342-1743

Phone(855) 709-4535

Organization SubpartNo

Authorized OfficialAmy E FoutsChief Compliance Officer · (404) 851-6968

Enumeration DateOctober 11, 2013

Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1083041867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ 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.

Also ListedChiropractorTaxonomy 111N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

320 HOSPITAL RD, Canton, GA 30114

Open in Google Maps ↗

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

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 11D0256158

Northside Hospital Dba Medical Associates · Canton, GA

Active · expires Mar 31, 2027

CLIA Number11D0256158

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2025

Certificate Expiration DateMarch 31, 2027

Laboratory DirectorMatthew Simmons

Laboratory Phone(770) 479-5535

Laboratory LocationNorthside Hospital Dba Medical Associates320 Hospital Road, Canton, GA 30114

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

MS. CHERYL M PINES MPT

Physical Therapist