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MED-SOUTH PRIMARY CARE
NPI 1245413715
Internal Medicine in Stockbridge, GA

Active since December 07, 2007CLIA 11D2052600 · Waiver
1240 EAGLES LANDING PARKWAY, SUITE 100, STOCKBRIDGE, GA 30281(770) 506-0100(770) 507-2597 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2015, Dec 3, 2015 (2 updates tracked since 2015).

About Med-south Primary Care NPPES

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

MED-SOUTH PRIMARY CARE (NPI 1245413715) is a healthcare organization registered as an internal medicine in Stockbridge, Georgia and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Kelly Marie Padgett, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1245413715
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMED-SOUTH PRIMARY CARE
Location Address1240 EAGLES LANDING PARKWAY, SUITE 100Stockbridge, GA 30281
Mailing Address1240 Eagles Landing Parkway, Suite 100Stockbridge, GA 30281 · (770) 506-0100 · Fax (770) 507-2597
Phone(770) 506-0100
Fax(770) 507-2597
Organization SubpartNo
Authorized OfficialKelly Marie PadgettInsurance Coordinator · (770) 506-0100
Enumeration DateDecember 7, 2007
Last NPPES UpdateDecember 14, 20152 updates tracked since enumeration
✔ NPI 1245413715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 047830
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.
1240 EAGLES LANDING PARKWAY, Stockbridge, GA 30281
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Other Names 1

Former Legal Business NameMed-south Primary Care

Other Identifiers 3

Medicare UPINH53729GA
Medicare PIN11BDVGJGA
Medicaid00932357AGA

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 ›

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 11D2052600

Med-South Primary Care · Stockbridge, GA
Active · expires Nov 15, 2026
CLIA Number11D2052600
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorMs. Kelly Padgett
Laboratory Phone(770) 506-0100
Laboratory LocationMed-South Primary Care1240 Eagles Landing Parkway Suite 100, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address 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 Med-South Primary Care's NPI number?

The NPI number for Med-South Primary Care is 1245413715. It was assigned to this organization in the NPPES registry on December 7, 2007.

Where is Med-South Primary Care located?

Med-South Primary Care is located at 1240 Eagles Landing Parkway Suite 100, Stockbridge, GA 30281. The listed phone number is (770) 506-0100.

What is Med-South Primary Care's specialty?

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

Does Med-South Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2052600) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Med-South Primary Care accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Med-South Primary Care 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 Med-South Primary Care was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.