MEDICI MEDICAL ARTS
NPI 1366842494
Physical Medicine & Rehabilitation - Pain Medicine in Kennesaw, GA

Active since August 26, 2014CLIA 11D2142870 · Waiver
2911 GEORGE BUSBEE PKWY NW, SUITE 50, KENNESAW, GA 30144(844) 328-4624(770) 882-2576 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medici Medical Arts NPPES

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

MEDICI MEDICAL ARTS (NPI 1366842494) is a healthcare organization registered as a pain medicine in Kennesaw, Georgia and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Sonny S Dosanjh, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1366842494
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameMEDICI MEDICAL ARTS
Location Address2911 GEORGE BUSBEE PKWY NW, SUITE 50Kennesaw, GA 30144-6908
Mailing Address2911 George Busbee Pkwy Nw, Suite 50Kennesaw, GA 30144-6908 · (844) 328-4624 · Fax (770) 882-2576
Fax(770) 882-2576
Organization SubpartNo
Authorized OfficialSonny S DosanjhChief Medical Officer · (844) 328-4624
Enumeration DateAugust 26, 2014
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1366842494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in GA · 66686
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 349 (GA)
2911 GEORGE BUSBEE PKWY NW, Kennesaw, GA 30144

Other Identifiers 4

Other1366842494GA · Group Npi
Medicaid003161420AGA
Medicare PIN202G701420GA
Medicare NSC7383350001GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Medici Medical Arts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Medici Medical Arts, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Physical Medicine and Rehabilitation
NPI 1952596850
2911 GEORGE BUSBEE PKWY NW SUITE 50
Kennesaw, GA 30144
(844) 328-4624
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376358242
2911 GEORGE BUSBEE PKWY NW STE 50
Kennesaw, GA 30144
(844) 328-4624
✔ PECOSSame address
Orthopedic Surgery
NPI 1760591242
541 10TH ST NW BOX 207
Atlanta, GA 30318
(404) 845-0777
✔ PECOS✔ Accepts Medicare19 mi
Physical Medicine and Rehabilitation
NPI 1225355993
165 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 506-1800
✔ PECOS40 mi
Nurse Practitioner
NPI 1043932973
1288 WELLBROOK CIR NE STE A
Conyers, GA 30012
(678) 369-6934
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1386401594
1288 WELLBROOK CIR NE STE A
Conyers, GA 30012
(678) 369-6934
✔ PECOS✔ Accepts Medicare40 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 11D2142870

Medici Medical Arts · Kennesaw, GA
Active · expires Jan 21, 2028
CLIA Number11D2142870
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorSonny S. Dosanjh
Laboratory Phone(844) 328-4624
Laboratory LocationMedici Medical Arts2911 George Busbee Parkway #50, Kennesaw, GA 30144
CLIA data matches this NPI record on: 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 Medici Medical Arts's NPI number?

The NPI number for Medici Medical Arts is 1366842494. It was assigned to this organization in the NPPES registry on August 26, 2014.

Where is Medici Medical Arts located?

Medici Medical Arts is located at 2911 George Busbee Pkwy NW Suite 50, Kennesaw, GA 30144. The listed phone number is (844) 328-4624.

What is Medici Medical Arts's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Medici Medical Arts enrolled in Medicare?

Yes. Medici Medical Arts is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medici Medical Arts?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Medici Medical Arts. 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. The largest specialties are Nurse Practitioner (3), Physical Medicine and Rehabilitation (2) and Orthopedic Surgery (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medici Medical Arts hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2142870) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medici Medical Arts accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medici Medical Arts 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 Medici Medical Arts was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.