FOUR CORNERS PRIMARY CARE CENTERS, INC.
NPI 1285325282
Clinic/Center - Federally Qualified Health Center (FQHC) in Lawrenceville, GA
About Four Corners Primary Care Centers, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUR CORNERS PRIMARY CARE CENTERS, INC. (NPI 1285325282) is a healthcare organization registered as a federally qualified health center (fqhc) in Lawrenceville, Georgia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Brian Oneal Williams, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 11D1081574
Four Corners Primary Care Center · Norcross, 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 Four Corners Primary Care Centers, Inc.'s NPI number?
The NPI number for Four Corners Primary Care Centers, Inc. is 1285325282. It was assigned to this organization in the NPPES registry on May 19, 2023. The provider is also known as Four Corners Primary Care Centers, W Pike.
Where is Four Corners Primary Care Centers, Inc. located?
Four Corners Primary Care Centers, Inc. is located at 318 W Pike St Ste 100, Lawrenceville, GA 30046. The listed phone number is (770) 806-2928.
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.
Does Four Corners Primary Care Centers, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1081574) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Four Corners Primary Care Centers, Inc. was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Primary Care Centers, Inc. · NPI 1285325282
Federally Qualified Health Center (FQHC) organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since May 19, 2023.
## Identity
- **NPI:** 1285325282 (Entity type: Organization)
- **Enumerated:** May 19, 2023
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Four Corners Primary Care Centers, W Pike (Other Name)
- **Organization subpart:** Yes (part of Four Corners Primary Care Centers, Inc.)
- **Authorized official:** Brian Williams, CEO
## Practice location
- **Address:** 318 W PIKE ST STE 100, Lawrenceville, GA 30046-3234
- **Phone:** (770) 806-2928
## Record status
- **NPPES last updated:** May 19, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285325282) · Data from the CMS NPPES public registry.