YOUR WAY MEDICAL HEALTH CARE CLINIC
NPI 1427911924
Nurse Practitioner - Family in Riverdale, GA

Active since December 03, 2025
653 ROBERTS DR STE A-4, RIVERDALE, GA 30274(678) 361-2100 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2026, Jan 17, 2026, Dec 3, 2025 (3 updates tracked since 2025).

About Your Way Medical Health Care Clinic NPPES

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

YOUR WAY MEDICAL HEALTH CARE CLINIC (NPI 1427911924) is a healthcare organization registered as a family in Riverdale, Georgia and active in the NPI registry since December 2025. The organization lists Daisy Melinda King-godineaux, President, as its authorized official.

NPPES Registry Identity

NPI1427911924
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameYOUR WAY MEDICAL HEALTH CARE CLINIC
Location Address653 ROBERTS DR STE A-4Riverdale, GA 30274-2959
Mailing Address653 Roberts Dr Ste A-4Riverdale, GA 30274-2959 · (678) 361-2100
Organization SubpartNo
Authorized OfficialDaisy Melinda King-godineauxPresident · (678) 361-2100
Enumeration DateDecember 3, 2025
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1427911924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
653 ROBERTS DR STE A-4, Riverdale, GA 30274

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Your Way Medical Health Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Your Way Medical Health Care Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144072273
4760 AUSTELL RD STE 1&3
Austell, GA 30106
(678) 464-4636
✔ PECOS✔ Accepts Medicare22 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 Your Way Medical Health Care Clinic's NPI number?

The NPI number for Your Way Medical Health Care Clinic is 1427911924. It was assigned to this organization in the NPPES registry on December 3, 2025.

Where is Your Way Medical Health Care Clinic located?

Your Way Medical Health Care Clinic is located at 653 Roberts Dr Ste A-4, Riverdale, GA 30274. The listed phone number is (678) 361-2100.

What is Your Way Medical Health Care Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Your Way Medical Health Care Clinic enrolled in Medicare?

Yes. Your Way Medical Health Care Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Your Way Medical Health Care Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Your Way Medical Health Care Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Your Way Medical Health Care Clinic was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.