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PRESBYTERIAN VILLAGE PHARMACY
NPI 1396876793
Pharmacy - Long Term Care Pharmacy in Austell, GA

Active since March 08, 2007CLIA 11D0673300 · Waiver
2000 E WEST CONNECTOR, ATTN: PHARMACY, AUSTELL, GA 30106(770) 819-7001(770) 819-7494 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2020, Apr 19, 2018 (2 updates tracked since 2018).

About Presbyterian Village Pharmacy NPPES

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

PRESBYTERIAN VILLAGE PHARMACY (NPI 1396876793) is a healthcare organization registered as a long term care pharmacy in Austell, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Debbie Heritage, Dir Of Phcy, as its authorized official.

NPPES Registry Identity

NPI1396876793
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePRESBYTERIAN VILLAGE AUSTELL INC
Location Address2000 E WEST CONNECTOR, ATTN: PHARMACYAustell, GA 30106-1194
Mailing Address2000 E West Connector, Attn: PharmacyAustell, GA 30106-1194 · (770) 819-7001 · Fax (770) 819-7494
Phone(770) 819-7001
Fax(770) 819-7494
Organization SubpartNo
Authorized OfficialDebbie HeritageDir Of Phcy · (770) 819-7001
Enumeration DateMarch 8, 2007
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1396876793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in GA · PHRE009068
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2000 E WEST CONNECTOR, Austell, GA 30106
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Other Names 1

Doing Business AsPresbyterian Village Pharmacy

Other Identifiers 2

Other2017513Pk
Medicaid666876218AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 11D0673300

Presbyterian Village · Austell, GA
Active · expires Aug 31, 2026
CLIA Number11D0673300
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCharles Markle
Laboratory Phone(404) 819-7000
Laboratory LocationPresbyterian Village2000 East West Connector, Austell, GA 30168
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

CHRISTINE THERESA CESTA COTA
Occupational Therapy Assistant
2000 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (704) 819-7003
POOJA PATEL
Occupational Therapist
2000 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 819-7000
USHEEMA THOMAS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2000 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 819-7001
DR. YOLANDA H MONTAGUE PHARM.D.
Pharmacist
2000 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 819-7001
SYLVIA JOYCE NAUGHTON
Occupational Therapy Assistant
2000 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 819-7000
GEORGE WHITFIELD WANNAMAKER
Physical Therapist
2000 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 819-7003
MRS. LILY LORETTA STEVENS COTA
Occupational Therapy Assistant
2000 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 819-7003
MRS. DOREEN BURNETTE LPTA
Physical Therapy Assistant
2000 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 819-7000

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 Presbyterian Village Austell Inc's NPI number?

The NPI number for Presbyterian Village Austell Inc is 1396876793. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Presbyterian Village Pharmacy.

Where is Presbyterian Village Austell Inc located?

Presbyterian Village Austell Inc is located at 2000 E West Connector Attn: Pharmacy, Austell, GA 30106. The listed phone number is (770) 819-7001.

What is Presbyterian Village Austell Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Presbyterian Village Austell Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0673300) 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 Presbyterian Village Austell Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 other insurers list Presbyterian Village Austell Inc 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 Presbyterian Village Austell Inc was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.