CENTERWELL SENIOR PRIMARY CARE-EAST PAULDING
NPI 1366269367
Internal Medicine in Dallas, GA
About Centerwell Senior Primary Care-east Paulding NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE-EAST PAULDING (NPI 1366269367) is a healthcare organization registered as an internal medicine in Dallas, Georgia and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Other Names 1
Group Practice 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 11D2328842
Centerwell Senior Primary Care (ga) PC - East Paulding · Dallas, 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 Centerwell Senior Primary Care Ga PC's NPI number?
The NPI number for Centerwell Senior Primary Care Ga PC is 1366269367. It was assigned to this organization in the NPPES registry on September 23, 2024. The provider is doing business as Centerwell Senior Primary Care-East Paulding.
Where is Centerwell Senior Primary Care Ga PC located?
Centerwell Senior Primary Care Ga PC is located at 3615 Charles Hardy Pkwy # 200, Dallas, GA 30157. The listed phone number is (678) 941-6247.
What is Centerwell Senior Primary Care Ga PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Does Centerwell Senior Primary Care Ga PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2328842) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Centerwell Senior Primary Care Ga PC was last updated on December 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
