LAGRANGE INTERNAL MEDICINE, PC
NPI 1831267632
Internal Medicine in Lagrange, GA

Active since December 01, 2006
1602 VERNON RD, SUITE 400, LAGRANGE, GA 30240(706) 882-9341(706) 884-0131 Get Directions Write a Review

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

Record update history: Mar 12, 2026, Apr 15, 2024 (2 updates tracked since 2024).

About Lagrange Internal Medicine, Pc NPPES

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

LAGRANGE INTERNAL MEDICINE, PC (NPI 1831267632) is a healthcare organization registered as an internal medicine in Lagrange, Georgia and active in the NPI registry since December 2006. The organization lists Audra Dean, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831267632
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAGRANGE INTERNAL MEDICINE, PC
Location Address1602 VERNON RD, SUITE 400Lagrange, GA 30240-4129
Mailing Address1602 Vernon Rd, Suite 400Lagrange, GA 30240-4129 · (706) 882-9341 · Fax (706) 884-0131
Fax(706) 884-0131
Organization SubpartNo
Authorized OfficialAudra DeanOffice Manager · (706) 298-2654
Enumeration DateDecember 1, 2006
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1831267632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1602 VERNON RD, Lagrange, GA 30240

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lagrange Internal Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Lagrange Internal Medicine, PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Internal Medicine
NPI 1144470840
1602 VERNON RD STE 400
Lagrange, GA 30240
(706) 882-9341
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1902471782
1602 VERNON RD STE 400
Lagrange, GA 30240
(706) 882-9341
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1871549204
1602 VERNON RD SUITE 400
Lagrange, GA 30240
(706) 882-9341
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1629072699
1602 VERNON RD STE 400
Lagrange, GA 30240
(706) 882-9341
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346538733
1602 VERNON RD SUITE 400
Lagrange, GA 30240
(706) 882-9341
✔ PECOSSame address
Internal Medicine
NPI 1396747598
1602 VERNON RD STE 400
Lagrange, GA 30240
(706) 882-9341
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1427050632
1602 VERNON RD STE 400
Lagrange, GA 30240
(706) 882-9341
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1255333456
1602 VERNON RD STE 400
Lagrange, GA 30240
(706) 882-9341
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1356354500
142 OLD MILL ROAD
Lagrange, GA 30241
(706) 885-1900
✔ PECOS✔ Accepts Medicare2.9 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 11D0869932

Lagrange Internal Medicine · Lagrange, GA
Expired · Sep 30, 2026
CLIA Number11D0869932
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorArnold Smalls
Laboratory Phone(706) 298-2654
Laboratory LocationLagrange Internal Medicine1602 Vernon Road Suite 400, Lagrange, GA 30240
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 Lagrange Internal Medicine, PC's NPI number?

The NPI number for Lagrange Internal Medicine, PC is 1831267632. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Lagrange Internal Medicine, PC located?

Lagrange Internal Medicine, PC is located at 1602 Vernon Rd Suite 400, Lagrange, GA 30240. The listed phone number is (706) 882-9341.

What is Lagrange Internal Medicine, PC's specialty?

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

Is Lagrange Internal Medicine, PC enrolled in Medicare?

Yes. Lagrange Internal Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lagrange Internal Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Lagrange Internal Medicine, 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 (7), Nephrology (1) and Nurse Practitioner (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lagrange Internal Medicine, PC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.