FIRST LITHONIA MEDICAL CENTER INC
NPI 1427244698
Family Medicine in Lithonia, GA

Q: What is First Lithonia Medical Center Inc's NPI number?

The NPI number for First Lithonia Medical Center Inc is 1427244698. It was assigned to this organization in the NPPES registry on September 20, 2007.

Q: What is First Lithonia Medical Center Inc's specialty?

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

Active since September 20, 2007CLIA 11D1043892 · Microscopy

2505 PANOLA RD, SUITE A, LITHONIA, GA 30058(770) 323-6458(770) 323-6462 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2024, Aug 8, 2018 (2 updates tracked since 2018).

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About First Lithonia Medical Center Inc NPPES

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

FIRST LITHONIA MEDICAL CENTER INC (NPI 1427244698) is a healthcare organization registered as a family medicine in Lithonia, Georgia and active in the NPI registry since September 2007. The organization holds a CLIA Microscopy certificate valid through August 4, 2027 and lists Isioma Theresa Okobah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427244698

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFIRST LITHONIA MEDICAL CENTER INC

Location Address2505 PANOLA RD, SUITE ALithonia, GA 30058

Mailing AddressPo Box 965185Marietta, GA 30066-0004 · (678) 984-8079 · Fax (770) 323-6462

Phone(770) 323-6458

Fax(770) 323-6462

Organization SubpartNo

Authorized OfficialIsioma Theresa OkobahCeo · (770) 323-6458

Enumeration DateSeptember 20, 2007

Last NPPES UpdateApril 29, 20242 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1427244698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2505 PANOLA RD, Lithonia, GA 30058

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

First Lithonia Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to First Lithonia Medical Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Isioma Okobah, MD

Family Practice

NPI 1992797229

2505 PANOLA RD SUITE A
Lithonia, GA 30058

(770) 323-6458

✔ PECOS✔ Accepts MedicareSame address

Bethel Godwins

Nurse Practitioner

NPI 1902310568

1136 CLEVELAND AVE STE 615
East Point, GA 30344

(404) 254-5388

✔ PECOS15 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 for Provider-Performed Microscopy Procedures (PPMP) 11D1043892

First Lithonia Medical Center · Lithonia, GA

Active · expires Aug 4, 2027

CLIA Number11D1043892

Laboratory TypePhysician Office

Certificate Effective DateAugust 5, 2025

Certificate Expiration DateAugust 4, 2027

Laboratory DirectorIsioma T. Okobah

Laboratory Phone(404) 289-9936

Laboratory LocationFirst Lithonia Medical Center2505 Panola Road, Lithonia, GA 30058

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 First Lithonia Medical Center Inc's NPI number?

The NPI number for First Lithonia Medical Center Inc is 1427244698. It was assigned to this organization in the NPPES registry on September 20, 2007.

Where is First Lithonia Medical Center Inc located?

First Lithonia Medical Center Inc is located at 2505 Panola Rd Suite A, Lithonia, GA 30058. The listed phone number is (770) 323-6458.

What is First Lithonia Medical Center Inc's specialty?

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

Is First Lithonia Medical Center Inc enrolled in Medicare?

Yes. First Lithonia Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Lithonia Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to First Lithonia Medical Center Inc, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does First Lithonia Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1043892) is associated with this NPI, valid through August 4, 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 First Lithonia Medical Center Inc was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.