ACWORTH PRIMARY HEALTHCARE
NPI 1588826481
Family Medicine in Acworth, GA

Active since July 01, 2008CLIA 11D0993631 · Waiver
4465 LEMON ST, ACWORTH, GA 30101(770) 529-7478(770) 529-7458 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Acworth Primary Healthcare NPPES

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

ACWORTH PRIMARY HEALTHCARE (NPI 1588826481) is a healthcare organization registered as a family medicine in Acworth, Georgia and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Harnish R Patel, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1588826481
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACWORTH FAMILY PRACTICE LLC
Location Address4465 LEMON STAcworth, GA 30101-5418
Mailing Address4465 Lemon StAcworth, GA 30101-5418 · (770) 529-7478 · Fax (770) 529-7458
Fax(770) 529-7458
Organization SubpartNo
Authorized OfficialHarnish R PatelSole Owner · (770) 529-7478
Enumeration DateJuly 1, 2008
Last NPPES UpdateMay 24, 2016
✔ NPI 1588826481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 58307
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.
4465 LEMON ST, Acworth, GA 30101

Other Names 1

Doing Business AsAcworth Primary Healthcare

Other Identifiers 1

Medicaid54 5241304BGA

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Acworth Primary Healthcare 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 Acworth Primary Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1215025697
4465 LEMON ST
Acworth, GA 30101
(770) 529-7478
✔ PECOS✔ Accepts MedicareSame address

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 11D0993631

Acworth Primary Healthcare · Acworth, GA
Active · expires Nov 19, 2027
CLIA Number11D0993631
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorHarnish Patel
Laboratory Phone(770) 529-7478
Laboratory LocationAcworth Primary Healthcare4465 Lemon Street, Acworth, GA 30101
CLIA data matches this NPI record on: Address Name 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 Acworth Family Practice LLC's NPI number?

The NPI number for Acworth Family Practice LLC is 1588826481. It was assigned to this organization in the NPPES registry on July 1, 2008. The provider is doing business as Acworth Primary Healthcare.

Where is Acworth Family Practice LLC located?

Acworth Family Practice LLC is located at 4465 Lemon St, Acworth, GA 30101. The listed phone number is (770) 529-7478.

What is Acworth Family Practice LLC's specialty?

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

Is Acworth Family Practice LLC enrolled in Medicare?

Yes. Acworth Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acworth Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Acworth Family Practice LLC. 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.

Does Acworth Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0993631) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Acworth Family Practice LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Acworth Family Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Acworth Family Practice LLC was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.