PRIMARY CARE GROUP OF WEST GEORGIA
NPI 1386635852
Family Medicine in Carrollton, GA

Active since November 02, 2005
100 PROFESSIONAL PL, SUITE 204, CARROLLTON, GA 30117(770) 834-3351(770) 838-1722 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Primary Care Group Of West Georgia NPPES

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

PRIMARY CARE GROUP OF WEST GEORGIA (NPI 1386635852) is a healthcare organization registered as a family medicine in Carrollton, Georgia and active in the NPI registry since November 2005. The organization maintains a secondary practice location in Bremen and lists Rodney P Smith, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1386635852
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE GROUP OF WEST GEORGIA
Location Address100 PROFESSIONAL PL, SUITE 204Carrollton, GA 30117-3874
Mailing Address100 Professional Pl Ste 204Carrollton, GA 30117-3802 · (770) 834-3351 · Fax (770) 838-1722
Fax(770) 838-1722
Organization SubpartNo
Authorized OfficialRodney P SmithPractice Administrator · (770) 838-1570
Enumeration DateNovember 2, 2005
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1386635852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
100 PROFESSIONAL PL, Carrollton, GA 30117

Secondary Practice Location 1

Location 1700 Alabama Ave SBremen, GA 30110-2304 · Phone (770) 834-3351 ext. 254 · Fax (770) 838-1722

Other Identifiers 1

OtherCA9972GA · Rail Road Medicare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primary Care Group Of West Georgia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Primary Care Group Of West Georgia, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Internal Medicine
NPI 1932858065
100 PROFESSIONAL PL STE 204
Carrollton, GA 30117
(770) 834-3351
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1184615759
100 PROFESSIONAL PARK SUITE 204
Carrollton, GA 30117
(770) 834-3351
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932190535
100 PROFESSIONAL PARK SUITE 204
Carrollton, GA 30117
(770) 834-3351
✔ PECOS✔ Accepts MedicareSame address
Sleep Medicine
NPI 1639104748
100 PROFESSIONAL PARK SUITE 204
Carrollton, GA 30117
(770) 834-3351
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1467404871
100 PROFESSIONAL PARK SUITE 204
Carrollton, GA 30117
(770) 834-3351
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487153839
100 PROFESSIONAL PL STE 204
Carrollton, GA 30117
(770) 834-3351
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1841866225
100 PROFESSIONAL PL STE 204
Carrollton, GA 30117
(770) 834-3351
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1538652987
41 WELLINGTON MILL RD
Whitesburg, GA 30185
(770) 836-0504
✔ PECOS✔ Accepts Medicare10.0 mi
Pulmonary Disease
NPI 1811427842
1670 CLAIRMONT RD
Decatur, GA 30033
(404) 321-6111
✔ PECOS✔ Accepts Medicare47 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 Primary Care Group Of West Georgia's NPI number?

The NPI number for Primary Care Group Of West Georgia is 1386635852. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Primary Care Group Of West Georgia located?

Primary Care Group Of West Georgia is located at 100 Professional Pl Suite 204, Carrollton, GA 30117. The listed phone number is (770) 834-3351.

What is Primary Care Group Of West Georgia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Primary Care Group Of West Georgia enrolled in Medicare?

Yes. Primary Care Group Of West Georgia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Group Of West Georgia?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 6 Medicare specialties reassign their Medicare billing to Primary Care Group Of West Georgia. 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), Family Practice (2) and Critical Care (Intensivists) (1). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Primary Care Group Of West Georgia was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.