WEST FORSYTH INTERNAL MEDICINE
NPI 1841861457
Clinic/Center - Primary Care in Cumming, GA

Active since July 06, 2021CLIA 11D2232308 · Waiver
1455 HAW CREEK CIR E STE 603, CUMMING, GA 30041(770) 415-2515(770) 415-2515 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 18, 2024, May 14, 2022, Jul 6, 2021 (3 updates tracked since 2021).

About West Forsyth Internal Medicine NPPES

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

WEST FORSYTH INTERNAL MEDICINE (NPI 1841861457) is a healthcare organization registered as a primary care in Cumming, Georgia and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through August 11, 2027, maintains 2 additional practice locations, and lists Allison Santizo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841861457
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWEST FORSYTH INTERNAL MEDICINE
Location Address1455 HAW CREEK CIR E STE 603Cumming, GA 30041-6576
Mailing Address1455 Haw Creek Cir E Ste 603Cumming, GA 30041-6576 · (770) 415-2515 · Fax (770) 415-2515
Fax(770) 415-2515
Organization SubpartNo
Authorized OfficialAllison SantizoCeo · (770) 415-2515
Enumeration DateJuly 6, 2021
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1841861457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1455 HAW CREEK CIR E STE 603, Cumming, GA 30041

Secondary Practice Locations 2

Location 15971 Parkway North Blvd Ste 200BCumming, GA 30040-8841 · Phone (770) 415-2515 · Fax (770) 415-2515
Location 2810 Sanders Rd Ste BCumming, GA 30041-9051 · Phone (770) 415-2515 · Fax (770) 415-2515

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 11D2232308

West Forsyth Internal Medicine · Cumming, GA
Active · expires Aug 11, 2027
CLIA Number11D2232308
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorA Brooke Santizo
Laboratory Phone(770) 415-2515
Laboratory LocationWest Forsyth Internal Medicine1455 Haw Creek Circle E, Ste 603, Cumming, GA 30041
CLIA data matches this NPI record on: 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 West Forsyth Internal Medicine's NPI number?

The NPI number for West Forsyth Internal Medicine is 1841861457. It was assigned to this organization in the NPPES registry on July 6, 2021.

Where is West Forsyth Internal Medicine located?

West Forsyth Internal Medicine is located at 1455 Haw Creek Cir E Ste 603, Cumming, GA 30041. The listed phone number is (770) 415-2515.

What is West Forsyth Internal Medicine's specialty?

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

Does West Forsyth Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2232308) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Forsyth Internal Medicine was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.