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

Active since November 02, 2005CLIA 11D0256261 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through August 31, 2026, 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
Phone(770) 834-3351
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
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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

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 ›

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 11D0256261

Primary Care Group Of West Georgia PC · Carrollton, GA
Active · expires Aug 31, 2026
CLIA Number11D0256261
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHermogenes Pagsisihan MD
Laboratory Phone(770) 834-3351
Laboratory LocationPrimary Care Group Of West Georgia PC100 Professional Park Suite 204, Carrollton, GA 30117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

CRNG,LLC
Internal Medicine (Interventional Cardiology)
100 PROFESSIONAL PL, SUITE 303
CARROLLTON, GA 30117
Carroll County (770) 838-8440
DR. LAURA LAMB LARSON MD
Internal Medicine (Infectious Disease)
100 PROFESSIONAL PL, SUITE 301
CARROLLTON, GA 30117
Carroll County (770) 812-5837
JACK W MILLER M.D
Pediatrics (Developmental - Behavioral Pediatrics)
100 PROFESSIONAL PL, STE 104
CARROLLTON, GA 30117
Carroll County (770) 830-7039
DR. JACK CREWS M.D.
Internal Medicine
100 PROFESSIONAL PL, SUITE 204
CARROLLTON, GA 30117
Carroll County (770) 384-3351
STEPHEN CHRISTOPHER DUDLEY MD
Psychiatry & Neurology (Psychiatry)
100 PROFESSIONAL PL, 303
CARROLLTON, GA 30117
Carroll County (770) 812-5793
GREGORY BENJAMIN FLOYD M.D.
Family Medicine
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 832-6861
JEFFERSON TAYLOR GORDON M.D.
Family Medicine
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 832-6861
SIMS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
100 PROFESSIONAL PL, SUITE 101
CARROLLTON, GA 30117
Carroll County (770) 834-4456

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.

Does Primary Care Group Of West Georgia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0256261) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Group Of West Georgia accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Primary Care Group Of West Georgia 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 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 60 days 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.