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

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: July 26, 2026.

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

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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JIGISHA K PATEL DENTIST
Dentist (General Practice)
6128 PRESTLEY MILL RD, SUITE-E
DOUGLASVILLE, GA 30134
Douglas County (770) 949-0434
MILTON E WHITE M.D.
Internal Medicine
6128 PRESTLEY MILL RD, SUITE G
DOUGLASVILLE, GA 30134
Douglas County (770) 942-6903
JIGISHA PATEL DDS, PC
Dentist
6128 PRESTLEY MILL RD, SUITE E
DOUGLASVILLE, GA 30134
Douglas County (770) 949-0434
DR. RAYMOND P FLOWERS III D.O.
Pediatrics
6128 PRESTLEY MILL RD, SUITE D
DOUGLASVILLE, GA 30134
Douglas County (770) 949-3888

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.

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.

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 with the weekly NPPES data releases published by CMS.