WEST FORSYTH INTERNAL MEDICINE
NPI 1841861457
Clinic/Center - Primary Care in Cumming, GA
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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)
West Forsyth Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to West Forsyth Internal Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Waiver 11D2232308
West Forsyth Internal Medicine · Cumming, GAFrequently 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.
Is West Forsyth Internal Medicine enrolled in Medicare?
Yes. West Forsyth Internal Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through West Forsyth Internal Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to West Forsyth Internal Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does West Forsyth Internal Medicine accept?
Health plans from Alliant Health Plans, Inc. list West Forsyth Internal Medicine 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 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 23 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.
# West Forsyth Internal Medicine · NPI 1841861457
Primary Care organization in Cumming, Georgia. Organization record, active in the CMS NPPES registry since July 6, 2021.
## Identity
- **NPI:** 1841861457 (Entity type: Organization)
- **Enumerated:** July 6, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Allison Santizo, CEO
## Practice location
- **Address:** 1455 HAW CREEK CIR E STE 603, Cumming, GA 30041-6576
- **Phone:** (770) 415-2515 · **Fax:** (770) 415-2515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1841861457) · Data from the CMS NPPES public registry.