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

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: October 18, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Associates Professional Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Medical Associates Professional Services, LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Family Practice11
Nurse Practitioner7
Internal Medicine5
Infectious Disease2
Neurology2
Chiropractic1
Diagnostic Radiology1
Pulmonary Disease1

Nearest to this location (20)

See all 30
Family Practice
NPI 1285909515
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1508043779
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1164443115
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154159838
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457747313
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114388378
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1730122912
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1083621247
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1619984820
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1881994077
205 WALESKA RD SUITE 1C
Canton, GA 30114
(678) 880-7576
✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1629050638
145 RIVERSTONE TERRACE SUITE 100
Canton, GA 30114
(770) 704-9499
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1114592292
145 RIVERSTONE TER STE 100
Canton, GA 30114
(770) 704-9499
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1073932414
470 NORTHSIDE CHEROKEE BLVD STE 380
Canton, GA 30115
(770) 721-9250
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1538819008
470 NORTHSIDE CHEROKEE BLVD STE 380
Canton, GA 30115
(770) 721-9250
✔ PECOS✔ Accepts Medicare2.1 mi
Family Practice
NPI 1083606727
470 VALLEY ST STE 200
Ball Ground, GA 30107
(770) 737-2770
✔ PECOS✔ Accepts Medicare8.1 mi
Nurse Practitioner
NPI 1902036999
470 VALLEY ST STE 200
Ball Ground, GA 30107
(770) 737-2770
✔ PECOS✔ Accepts Medicare8.1 mi
Nurse Practitioner
NPI 1699161513
2500 HOSPITAL BLVD STE 420
Roswell, GA 30076
(770) 410-4366
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1104950096
310 KENNESTONE HOSPITAL BLVD
Marietta, GA 30060
(770) 793-7899
✔ PECOS✔ Accepts Medicare22 mi
Diagnostic Radiology
NPI 1760598924
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1346265402
433 HIGHLAND PKWY STE 101
East Ellijay, GA 30540
(706) 698-8400
✔ PECOS✔ Accepts Medicare28 mi
See all 30 clinicians

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 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.

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 Medical Associates Professional Services, LLC's NPI number?

The NPI number for Medical Associates Professional Services, LLC is 1083041867. It was assigned to this organization in the NPPES registry on October 11, 2013.

Where is Medical Associates Professional Services, LLC located?

Medical Associates Professional Services, LLC is located at 320 Hospital Rd, Canton, GA 30114. The listed phone number is (855) 709-4535.

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

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

Is Medical Associates Professional Services, LLC enrolled in Medicare?

Yes. Medical Associates Professional Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Associates Professional Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 8 Medicare specialties reassign their Medicare billing to Medical Associates Professional Services, 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. The largest specialties are Family Practice (11), Nurse Practitioner (7) and Internal Medicine (5). Of these, 9 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medical Associates Professional Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0256158) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Associates Professional Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medical Associates Professional Services, 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 Medical Associates Professional Services, LLC was last updated on July 6, 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.