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MEDSOUTH ASSOCIATES PC
NPI 1508057589
Internal Medicine in Riverdale, GA

Active since August 06, 2007CLIA 11D0258000 · Waiver
483 UPPER RIVERDALE RD SW STE G, RIVERDALE, GA 30274(770) 996-9400(770) 991-2918 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Medsouth Associates Pc NPPES

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

MEDSOUTH ASSOCIATES PC (NPI 1508057589) is a healthcare organization registered as an internal medicine in Riverdale, Georgia and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Richard Wright, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508057589
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDSOUTH ASSOCIATES PC
Location Address483 UPPER RIVERDALE RD SW STE GRiverdale, GA 30274-2584
Mailing Address483 Upper Riverdale Rd Sw Ste GRiverdale, GA 30274-2584 · (770) 996-9400 · Fax (770) 991-2918
Phone(770) 996-9400
Fax(770) 991-2918
Organization SubpartNo
Authorized OfficialRichard WrightOffice Manager · (770) 996-9400
Enumeration DateAugust 6, 2007
Last NPPES UpdateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
✔ NPI 1508057589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 022956✔ Licensed in GA · 036647✔ Licensed in GA · 046927
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.
483 UPPER RIVERDALE RD SW STE G, Riverdale, GA 30274
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Other Identifiers 6

Medicaid000892581FGA
Medicaid000897949AGA
Other855141Bc
Medicaid000252238AGA
Other003004Bc
Other149377Bc

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 MULTIPLE 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)

Medsouth Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Medsouth Associates PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Paul Harvey, MD
Internal Medicine
NPI 1053410357
483 UPPER RIVERDALE RD SW STE G
Riverdale, GA 30274
(770) 996-9400
✔ PECOS✔ Accepts MedicareSame address
Richard Wright, MD
Internal Medicine
NPI 1770573552
483 UPPER RIVERDALE RD SW STE G
Riverdale, GA 30274
(770) 996-9400
✔ PECOS✔ Accepts MedicareSame address
Eloy Diaz, M.D.
Internal Medicine
NPI 1063461051
6572 RIVER PARK DR STE 102
Riverdale, GA 30274
(770) 629-2296
✔ PECOS✔ Accepts Medicare0.5 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 of Waiver 11D0258000

Med South Associates PC · Riverdale, GA
Active · expires Aug 3, 2027
CLIA Number11D0258000
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorRichard Wright
Laboratory Phone(770) 996-9400
Laboratory LocationMed South Associates PC483 Upper Riverdale Road, Suite G, Riverdale, GA 30274
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only 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 Medsouth Associates PC's NPI number?

The NPI number for Medsouth Associates PC is 1508057589. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is Medsouth Associates PC located?

Medsouth Associates PC is located at 483 Upper Riverdale Rd SW Ste G, Riverdale, GA 30274. The listed phone number is (770) 996-9400.

What is Medsouth Associates PC's specialty?

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

Is Medsouth Associates PC enrolled in Medicare?

Yes. Medsouth Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medsouth Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Medsouth Associates PC. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medsouth Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0258000) is associated with this NPI, valid through August 3, 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 Medsouth Associates PC was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.