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EASTSIDE INTERNAL MEDICINE, LLC
NPI 1437211703
Internal Medicine in Conyers, GA

Active since December 14, 2006CLIA 11D1009039 · Waiver
2080 EASTSIDE DR, SUITE A, CONYERS, GA 30013(678) 625-7800(678) 625-7888 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastside Internal Medicine, Llc NPPES

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

EASTSIDE INTERNAL MEDICINE, LLC (NPI 1437211703) is a healthcare organization registered as an internal medicine in Conyers, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Syed Wasim, Owner, as its authorized official.

NPPES Registry Identity

NPI1437211703
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEASTSIDE INTERNAL MEDICINE, LLC
Location Address2080 EASTSIDE DR, SUITE AConyers, GA 30013-1953
Mailing Address2080 Eastside Dr, Suite AConyers, GA 30013-1953 · (678) 625-7800 · Fax (678) 625-7888
Phone(678) 625-7800
Fax(678) 625-7888
Organization SubpartNo
Authorized OfficialSyed WasimOwner · (678) 625-7800
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437211703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2080 EASTSIDE DR, Conyers, GA 30013
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Other Identifiers 3

Other1871551788GA · Npi Number
Other1992763809GA · Npi Number
Other1093773905GA · Npi Number

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

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 11D1009039

Eastside Internal Medicine LLC · Conyers, GA
Active · expires Oct 31, 2026
CLIA Number11D1009039
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorSyed O. Wasim MD
Laboratory Phone(678) 625-7800
Laboratory LocationEastside Internal Medicine LLC2080 Eastside Drive, Conyers, GA 30013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EASTSIDE INTERNAL MEDICINE, LLC
Legal Medicine
2080 EASTSIDE DR, SUITE A
CONYERS, GA 30013
Rockdale County (678) 625-7800

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 Eastside Internal Medicine, LLC's NPI number?

The NPI number for Eastside Internal Medicine, LLC is 1437211703. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is Eastside Internal Medicine, LLC located?

Eastside Internal Medicine, LLC is located at 2080 Eastside Dr Suite A, Conyers, GA 30013. The listed phone number is (678) 625-7800.

What is Eastside Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Eastside Internal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1009039) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastside Internal Medicine, LLC was last updated on August 22, 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.