WEST ATLANTA INTERNAL MEDICINE PC
NPI 1356689806
Clinic/Center - Medical Specialty in Douglasville, GA

Q: What is West Atlanta Internal Medicine PC's NPI number?

The NPI number for West Atlanta Internal Medicine PC is 1356689806. It was assigned to this organization in the NPPES registry on January 17, 2013.

Q: What is West Atlanta Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since January 17, 2013CLIA 11D2253746 · Waiver

6128 PRESTLEY MILL RD, SUITE G, DOUGLASVILLE, GA 30134(770) 942-6903(770) 942-6908 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About West Atlanta Internal Medicine Pc NPPES

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

WEST ATLANTA INTERNAL MEDICINE PC (NPI 1356689806) is a healthcare organization registered as a medical specialty in Douglasville, Georgia and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists John Alexander Johnson, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1356689806

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameWEST ATLANTA INTERNAL MEDICINE PC

Location Address6128 PRESTLEY MILL RD, SUITE GDouglasville, GA 30134-5621

Mailing Address6128 Prestley Mill Rd, Suite GDouglasville, GA 30134-5621 · (770) 942-6903 · Fax (770) 942-6908

Phone(770) 942-6903

Fax(770) 942-6908

Organization SubpartNo

Authorized OfficialJohn Alexander JohnsonMedical Director/owner · (770) 942-6903

Enumeration DateJanuary 17, 2013

Last NPPES UpdateJanuary 28, 2013

✔ NPI 1356689806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in GA · 046866

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

6128 PRESTLEY MILL RD, Douglasville, GA 30134

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Other Identifiers 1

Medicare UPINH28136GA

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 ›

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 Atlanta Internal Medicine Pc 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 Atlanta Internal Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maxwell Uhakheme, MD

Internal Medicine

NPI 1912264813

6875 DOUGLAS BLVD STE A KAISER PERMANENTE DOUGLASVILLE MEDICAL CENTER
Douglasville, GA 30135

(678) 838-2225

✔ PECOS✔ Accepts Medicare1.7 mi

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 Waiver 11D2253746

West Atlanta Internal Medicine · Douglasville, GA

Active · expires Feb 23, 2028

CLIA Number11D2253746

Laboratory TypePhysician Office

Certificate Effective DateFebruary 24, 2026

Certificate Expiration DateFebruary 23, 2028

Laboratory DirectorMaxwell Uhakheme

Laboratory Phone(770) 942-6903

Laboratory LocationWest Atlanta Internal Medicine6128 Prestley Mill Road Suite G, Douglasville, GA 30134

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 West Atlanta Internal Medicine PC's NPI number?

The NPI number for West Atlanta Internal Medicine PC is 1356689806. It was assigned to this organization in the NPPES registry on January 17, 2013.

Where is West Atlanta Internal Medicine PC located?

West Atlanta Internal Medicine PC is located at 6128 Prestley Mill Rd Suite G, Douglasville, GA 30134. The listed phone number is (770) 942-6903.

What is West Atlanta Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is West Atlanta Internal Medicine PC enrolled in Medicare?

Yes. West Atlanta Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Atlanta Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to West Atlanta Internal Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Atlanta Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2253746) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Atlanta Internal Medicine PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list West Atlanta Internal Medicine 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 West Atlanta Internal Medicine PC was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.