WEST GEORGIA HEALTHCARE
NPI 1306319256
Family Medicine - Adult Medicine in Carrollton, GA

Active since January 03, 2019
210 SOUTH ST, CARROLLTON, GA 30117(770) 834-1898(770) 834-4814 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About West Georgia Healthcare NPPES

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

WEST GEORGIA HEALTHCARE (NPI 1306319256) is a healthcare organization registered as an adult medicine in Carrollton, Georgia and active in the NPI registry since January 2019. The organization lists Daniel Mielcarski, Owner, as its authorized official.

NPPES Registry Identity

NPI1306319256
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameWEST GEORGIA HEALTHCARE
Location Address210 SOUTH STCarrollton, GA 30117-3738
Mailing Address210 South StCarrollton, GA 30117-3738 · (770) 834-1898 · Fax (770) 834-4814
Fax(770) 834-4814
Organization SubpartNo
Authorized OfficialDaniel MielcarskiOwner · (678) 462-4402
Enumeration DateJanuary 3, 2019
✔ NPI 1306319256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
210 SOUTH ST, Carrollton, GA 30117

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Georgia Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to West Georgia Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1205458098
1280 HIGHWAY 74 S STE 210
Peachtree City, GA 30269
(770) 486-6398
✔ Accepts Medicare36 mi

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 West Georgia Healthcare's NPI number?

The NPI number for West Georgia Healthcare is 1306319256. It was assigned to this organization in the NPPES registry on January 3, 2019.

Where is West Georgia Healthcare located?

West Georgia Healthcare is located at 210 South St, Carrollton, GA 30117. The listed phone number is (770) 834-1898.

What is West Georgia Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is West Georgia Healthcare enrolled in Medicare?

Yes. West Georgia Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Georgia Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to West Georgia Healthcare. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for West Georgia Healthcare was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.