ACTS RETIREMENT-LIFE COMMUNITIES, INC.
NPI 1164390712
Internal Medicine in Columbus, NC

Active since October 27, 2025
617 LAUREL LAKE DR, COLUMBUS, NC 28722(828) 894-3000(828) 894-2959 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Acts Retirement-life Communities, Inc. NPPES

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

ACTS RETIREMENT-LIFE COMMUNITIES, INC. (NPI 1164390712), doing business as Primary Care Services At Tryon Estates, is a healthcare organization registered as an internal medicine in Columbus, North Carolina and active in the NPI registry since October 2025. The organization lists Susan Ahern, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164390712
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameACTS RETIREMENT-LIFE COMMUNITIES, INC.
Location Address617 LAUREL LAKE DRColumbus, NC 28722-7401
Mailing Address420 Delaware DrFort Washington, PA 19034-2711 · (267) 787-4226
Fax(828) 894-2959
Organization SubpartNo
Authorized OfficialSusan AhernSvp, Cfo · (215) 661-8330
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 26, 2025
✔ NPI 1164390712 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.
617 LAUREL LAKE DR, Columbus, NC 28722

Other Names 1

Doing Business AsPrimary Care Services At Tryon Estates

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Acts Retirement-life Communities, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Acts Retirement-Life Communities, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1235546938
617 LAUREL LAKE DR
Columbus, NC 28722
(828) 894-3446
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629375092
686 JEFF DAVIS DR
Spartanburg, SC 29303
(864) 560-5620
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1164299889
PO BOX 36672
Rock Hill, SC 29732
(803) 812-5978
✔ PECOS✔ Accepts Medicare69 mi
Nurse Practitioner
NPI 1336704485
130 SERRAL DR
Greeneville, TN 37745
(423) 278-2501
✔ PECOS✔ Accepts Medicare73 mi
Nurse Practitioner
NPI 1710254453
733 PAVILION VIEW DR
Matthews, NC 28105
(704) 845-5900
✔ PECOS✔ Accepts Medicare83 mi
Nurse Practitioner
NPI 1104655869
1380 EASTCHESTER DR STE 103
High Point, NC 27265
(336) 521-9480
✔ PECOS✔ Accepts Medicare135 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 34D2085639

Acts Retirment Life Communities Inc · Columbus, NC
Expired · Oct 16, 2026
CLIA Number34D2085639
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorDionne James
Laboratory Phone(828) 894-3000
Laboratory LocationActs Retirment Life Communities Inc617 Laurel Lake Drive, Columbus, NC 28722
CLIA data matches this NPI record on: Address 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 Acts Retirement-Life Communities, Inc.'s NPI number?

The NPI number for Acts Retirement-Life Communities, Inc. is 1164390712. It was assigned to this organization in the NPPES registry on October 27, 2025. The provider is doing business as Primary Care Services at Tryon Estates.

Where is Acts Retirement-Life Communities, Inc. located?

Acts Retirement-Life Communities, Inc. is located at 617 Laurel Lake Dr, Columbus, NC 28722. The listed phone number is (828) 894-3000.

What is Acts Retirement-Life Communities, Inc.'s specialty?

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

Is Acts Retirement-Life Communities, Inc. enrolled in Medicare?

Yes. Acts Retirement-Life Communities, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acts Retirement-Life Communities, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Acts Retirement-Life Communities, 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 (5) and Clinical Social Worker (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 Acts Retirement-Life Communities, Inc. was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.