ATLANTA FAMILY PHYSICIANS PC
NPI 1194914135
Clinic/Center in Decatur, GA
About Atlanta Family Physicians Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLANTA FAMILY PHYSICIANS PC (NPI 1194914135) is a healthcare organization registered as a clinic/center in Decatur, Georgia and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 16, 2027 and lists Ahmad K Jingo, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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)
Atlanta Family Physicians Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Atlanta Family Physicians PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Compliance 11D1083380
Atlanta Family Physicians PC · Decatur, GAFrequently 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 Atlanta Family Physicians PC's NPI number?
The NPI number for Atlanta Family Physicians PC is 1194914135. It was assigned to this organization in the NPPES registry on October 16, 2007.
Where is Atlanta Family Physicians PC located?
Atlanta Family Physicians PC is located at 3424 Flat Shoals Rd Suite A, Decatur, GA 30034. The listed phone number is (404) 968-8269.
What is Atlanta Family Physicians PC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Atlanta Family Physicians PC enrolled in Medicare?
Yes. Atlanta Family Physicians PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlanta Family Physicians PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Atlanta Family Physicians PC. 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 (3), Internal Medicine (1) and Physical Therapist in Private Practice (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Atlanta Family Physicians PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D1083380) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Atlanta Family Physicians PC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Atlanta Family Physicians PC 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 Atlanta Family Physicians PC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Atlanta Family Physicians Pc · NPI 1194914135
Clinic/Center organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since October 16, 2007.
## Identity
- **NPI:** 1194914135 (Entity type: Organization)
- **Enumerated:** October 16, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Ahmad Jingo, PROVIDER
## Practice location
- **Address:** 3424 FLAT SHOALS RD, SUITE A, Decatur, GA 30034-6525
- **Phone:** (404) 968-8269 · **Fax:** (404) 968-8274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (1), Physical Therapist in Private Practice (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 11, 2023
- **Other identifiers:** Other 110229622 (GA); Other GRP3465 (GA); Other 11BDQPM (GA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194914135) · Data from the CMS NPPES public registry.