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ATLANTA CENTER FOR MEDICINE II PC
NPI 1669471728
Clinic/Center in Decatur, GA

Active since July 20, 2005CLIA 11D0259153 · Certificate of Compliance
2801 N DECATUR RD, SUITE 300, DECATUR, GA 30033(404) 296-3111(404) 297-7340 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Atlanta Center For Medicine Ii Pc NPPES

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

ATLANTA CENTER FOR MEDICINE II PC (NPI 1669471728) is a healthcare organization registered as a clinic/center in Decatur, Georgia and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through July 8, 2027 and lists Maureen Carpenter, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669471728
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATLANTA CENTER FOR MEDICINE II PC
Location Address2801 N DECATUR RD, SUITE 300Decatur, GA 30033-5949
Mailing Address2801 N Decatur Rd, Suite 300Decatur, GA 30033-5949 · (404) 296-3111 · Fax (404) 297-7340
Phone(404) 296-3111
Fax(404) 297-7340
Organization SubpartNo
Authorized OfficialMaureen CarpenterBusiness Office Manager · (404) 296-3111
Enumeration DateJuly 20, 2005
Last NPPES UpdateMay 19, 2015
✔ NPI 1669471728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2801 N DECATUR RD, Decatur, GA 30033
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Other Identifiers 3

Medicare UPINX24220
Medicaid055003002AGA
Medicare ID-Type UnspecifiedGRP2984GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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)

Atlanta Center For Medicine Ii Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Atlanta Center For Medicine II PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Jitendra Singh, M.D.
Internal Medicine
NPI 1154321479
2801 N DECATUR RD STE 300
Decatur, GA 30033
(404) 296-3111
✔ PECOS✔ Accepts MedicareSame address
Dwayne Daugherty, M.D.
Internal Medicine
NPI 1861493637
2801 N DECATUR RD SUITE 300
Decatur, GA 30033
(404) 296-3111
✔ PECOS✔ Accepts Medicare0.1 mi
Thomas Mizell, M.D.
Internal Medicine
NPI 1205829561
2801 N DECATUR RD SUITE 320
Decatur, GA 30033
(404) 296-3111
✔ PECOS✔ Accepts Medicare0.1 mi
Larry Ray, MD
Internal Medicine
NPI 1720029861
2801 N DECATUR RD SUITE 300
Decatur, GA 30033
(404) 296-3111
✔ PECOS✔ Accepts Medicare0.1 mi
Ellen Ferguson, D.O.
Family Practice
NPI 1770541518
3163 TUCKER NORCROSS RD
Tucker, GA 30084
(770) 939-6000
✔ PECOS✔ Accepts Medicare7.0 mi
Steven Anander, M.D.
Internal Medicine
NPI 1548354186
1030 JEFFERSON AVE V.A. MEDICAL CENTER
Memphis, TN 38104
(901) 523-8990
✔ PECOS✔ Accepts Medicare341 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 Compliance 11D0259153

Atlanta Center For Medicine · Decatur, GA
Active · expires Jul 8, 2027
CLIA Number11D0259153
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorDwayne T. Daugherty
Laboratory Phone(404) 296-3111
Laboratory LocationAtlanta Center For Medicine2801 North Decatur Rd Ste 300, Decatur, GA 30033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Atlanta Center For Medicine II PC's NPI number?

The NPI number for Atlanta Center For Medicine II PC is 1669471728. It was assigned to this organization in the NPPES registry on July 20, 2005.

Where is Atlanta Center For Medicine II PC located?

Atlanta Center For Medicine II PC is located at 2801 N Decatur Rd Suite 300, Decatur, GA 30033. The listed phone number is (404) 296-3111.

What is Atlanta Center For Medicine II PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Atlanta Center For Medicine II PC enrolled in Medicare?

Yes. Atlanta Center For Medicine II PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta Center For Medicine II PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Atlanta Center For Medicine II 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. The largest specialties are Internal Medicine (5) and Family Practice (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atlanta Center For Medicine II PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0259153) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atlanta Center For Medicine II PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Atlanta Center For Medicine II PC 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 Atlanta Center For Medicine II PC was last updated on May 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.