A PLUS CLINIC
NPI 1477158541
Family Medicine in Austell, GA

Active since December 04, 2020
4787 AUSTELL RD, AUSTELL, GA 30106(770) 875-6870 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2021, Dec 4, 2020 (2 updates tracked since 2020).

About A Plus Clinic NPPES

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

A PLUS CLINIC (NPI 1477158541) is a healthcare organization registered as a family medicine in Austell, Georgia and active in the NPI registry since December 2020. The organization lists Mali Khamissi-sobi, Owner, as its authorized official.

NPPES Registry Identity

NPI1477158541
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameA PLUS CLINIC
Location Address4787 AUSTELL RDAustell, GA 30106-2001
Mailing Address4787 Austell RdAustell, GA 30106-2001 · (770) 875-6870
Organization SubpartNo
Authorized OfficialMali Khamissi-sobiOwner · (770) 875-6870
Enumeration DateDecember 4, 2020
Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
✔ NPI 1477158541 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.
4787 AUSTELL RD, Austell, GA 30106

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Plus Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20220228001788Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to A Plus Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1831622984
4787 AUSTELL RD
Austell, GA 30106
(770) 875-6870
✔ PECOSSame address

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 A Plus Clinic's NPI number?

The NPI number for A Plus Clinic is 1477158541. It was assigned to this organization in the NPPES registry on December 4, 2020.

Where is A Plus Clinic located?

A Plus Clinic is located at 4787 Austell Rd, Austell, GA 30106. The listed phone number is (770) 875-6870.

What is A Plus Clinic's specialty?

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

Is A Plus Clinic enrolled in Medicare?

Yes. A Plus Clinic is registered in the Medicare PECOS enrollment system.

When is A Plus Clinic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through A Plus Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to A Plus 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 A Plus Clinic was last updated on February 9, 2021. 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.