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CENTERWELL SENIOR PRIMARY CARE-WESLEY CHAPEL
NPI 1689241259
Internal Medicine in Decatur, GA

Active since June 10, 2021CLIA 11D2253532 · Waiver
2389 WESLEY CHAPEL RD STE 102, DECATUR, GA 30035(404) 469-9867(877) 889-5105 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2024, Oct 14, 2022, Oct 7, 2021 and 2 more (5 updates tracked since 2021).

About Centerwell Senior Primary Care-wesley Chapel NPPES

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

CENTERWELL SENIOR PRIMARY CARE-WESLEY CHAPEL (NPI 1689241259) is a healthcare organization registered as an internal medicine in Decatur, Georgia and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1689241259
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE GA PC
Location Address2389 WESLEY CHAPEL RD STE 102Decatur, GA 30035-2819
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(404) 469-9867
Fax(877) 889-5105
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJune 10, 2021
Last NPPES UpdateJuly 3, 20245 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1689241259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
2389 WESLEY CHAPEL RD STE 102, Decatur, GA 30035
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-wesley Chapel

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 11D2253532

Centerwell Senior Primary Care - Wesley Chapel · Decatur, GA
Active · expires Feb 21, 2028
CLIA Number11D2253532
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorErica Savage-Jeter
Laboratory Phone(404) 469-9867
Laboratory LocationCenterwell Senior Primary Care - Wesley Chapel2389 Wesley Chapel Road, Suite 102 Attn Center Administrator, Decatur, GA 30035
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.

DONESSA ARETHA FRASER MD
Family Medicine
2389 WESLEY CHAPEL RD STE 102
DECATUR, GA 30035
Dekalb County (404) 469-9867
OUIDA DEEDRA CARR
Nurse Practitioner (Family)
2389 WESLEY CHAPEL RD STE 102
DECATUR, GA 30035
Dekalb County (404) 044-6998

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 Centerwell Senior Primary Care Ga PC's NPI number?

The NPI number for Centerwell Senior Primary Care Ga PC is 1689241259. It was assigned to this organization in the NPPES registry on June 10, 2021. The provider is doing business as Centerwell Senior Primary Care-Wesley Chapel.

Where is Centerwell Senior Primary Care Ga PC located?

Centerwell Senior Primary Care Ga PC is located at 2389 Wesley Chapel Rd Ste 102, Decatur, GA 30035. The listed phone number is (404) 469-9867.

What is Centerwell Senior Primary Care Ga PC's specialty?

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

Does Centerwell Senior Primary Care Ga PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2253532) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Ga PC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.