WEST ATLANTA PRIMARY CARE
NPI 1629724752
Clinic/Center - Primary Care in Douglasville, GA

Active since February 28, 2022
4904 TIMBER RIDGE DR STE 102, DOUGLASVILLE, GA 30135(678) 521-0935 Get Directions Write a Review

NPPES record last updated: March 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2023, Mar 13, 2022, Feb 28, 2022 (3 updates tracked since 2022).

About West Atlanta Primary Care NPPES

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

WEST ATLANTA PRIMARY CARE (NPI 1629724752) is a healthcare organization registered as a primary care in Douglasville, Georgia and active in the NPI registry since February 2022. The organization lists Shivam Desai, Owner, as its authorized official.

NPPES Registry Identity

NPI1629724752
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWEST ATLANTA PRIMARY CARE
Location Address4904 TIMBER RIDGE DR STE 102Douglasville, GA 30135-1831
Mailing Address4904 Timber Ridge Dr Ste 102Douglasville, GA 30135-1831 · (678) 521-0935
Organization SubpartNo
Authorized OfficialShivam DesaiOwner · (678) 401-4597
Enumeration DateFebruary 28, 2022
Last NPPES UpdateMarch 25, 20233 updates tracked since enumeration
NPPES CertifiedMarch 25, 2023
NPI 1629724752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4904 TIMBER RIDGE DR STE 102, Douglasville, GA 30135

Accepted Insurance

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 11D2265870

West Atlanta Primary Care · Douglasville, GA
Expired · Aug 2, 2026
CLIA Number11D2265870
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2024
Certificate Expiration DateAugust 2, 2026
Laboratory DirectorShivam Desai
Laboratory Phone(678) 401-4597
Laboratory LocationWest Atlanta Primary Care4904 Timber Ridge Drive, Suite 102, Douglasville, GA 30135
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 2

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

Nurse Practitioner (Family)
4904 TIMBER RIDGE DR STE 102
DOUGLASVILLE, GA 30135
Family Medicine
4904 TIMBER RIDGE DR STE 102
DOUGLASVILLE, GA 30135

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 West Atlanta Primary Care's NPI number?

The NPI number for West Atlanta Primary Care is 1629724752. It was assigned to this organization in the NPPES registry on February 28, 2022.

Where is West Atlanta Primary Care located?

West Atlanta Primary Care is located at 4904 Timber Ridge Dr Ste 102, Douglasville, GA 30135. The listed phone number is (678) 521-0935.

What is West Atlanta Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does West Atlanta Primary Care accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list West Atlanta Primary Care 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 West Atlanta Primary Care was last updated on March 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.