FOUR CORNERS @ VPH
NPI 1265624548
Clinic/Center - Federally Qualified Health Center (FQHC) in Norcross, GA
About Four Corners @ Vph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUR CORNERS @ VPH (NPI 1265624548) is a healthcare organization registered as a federally qualified health center (fqhc) in Norcross, Georgia and active in the NPI registry since August 2007. The organization lists Brian O. Williams, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Four Corners @ Vph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Four Corners @ Vph, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Four Corners Primary Care Centers Inc's NPI number?
The NPI number for Four Corners Primary Care Centers Inc is 1265624548. It was assigned to this organization in the NPPES registry on August 10, 2007. The provider is doing business as Four Corners @ Vph.
Where is Four Corners Primary Care Centers Inc located?
Four Corners Primary Care Centers Inc is located at 5300 Oakbrook Pkwy Suite 130, Norcross, GA 30093. The listed phone number is (770) 279-3142.
What is Four Corners Primary Care Centers Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Four Corners Primary Care Centers Inc enrolled in Medicare?
Yes. Four Corners Primary Care Centers Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Four Corners Primary Care Centers Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Four Corners Primary Care Centers 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 (6), Family Practice (3) and Internal Medicine (2). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Four Corners Primary Care Centers Inc accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Four Corners Primary Care Centers Inc 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 Four Corners Primary Care Centers Inc was last updated on September 1, 2016. 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.
# Four Corners @ Vph · NPI 1265624548
Federally Qualified Health Center (FQHC) organization in Norcross, Georgia. Organization record, active in the CMS NPPES registry since August 10, 2007.
## Identity
- **NPI:** 1265624548 (Entity type: Organization)
- **Enumerated:** August 10, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Four Corners Primary Care Centers Inc
- **Organization subpart:** No
- **Authorized official:** Brian Williams, CEO
## Practice location
- **Address:** 5300 OAKBROOK PKWY, SUITE 130, Norcross, GA 30093-2256
- **Phone:** (770) 279-3142 · **Fax:** (770) 234-5210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (3), Internal Medicine (2); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2016
- **Other identifiers:** Medicaid 162765396A (GA); Medicare PIN 11-1901 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265624548) · Data from the CMS NPPES public registry.