ARBOR PLACE FAMILY MEDICINE
NPI 1942482310
Internal Medicine in Douglasville, GA

Active since November 28, 2007CLIA 11D1036452 · Waiver
6130 PRESTLEY MILL RD STE B, DOUGLASVILLE, GA 30134(770) 771-5100(770) 771-5101 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Arbor Place Family Medicine NPPES

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

ARBOR PLACE FAMILY MEDICINE (NPI 1942482310) is a healthcare organization registered as an internal medicine in Douglasville, Georgia and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Thomas C Varughese, President, as its authorized official.

NPPES Registry Identity

NPI1942482310
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameARBOR PLACE FAMILY MEDICINE
Location Address6130 PRESTLEY MILL RD STE BDouglasville, GA 30134-2288
Mailing Address6130 Prestley Mill Rd Ste BDouglasville, GA 30134-2288 · (770) 771-5100 · Fax (770) 771-5101
Fax(770) 771-5101
Organization SubpartNo
Authorized OfficialThomas C VarughesePresident · (404) 446-1760
Enumeration DateNovember 28, 2007
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1942482310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 45998
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.
6130 PRESTLEY MILL RD STE B, Douglasville, GA 30134

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

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)

Arbor Place Family 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 Arbor Place Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1720138597
6130 PRESTLEY MILL RD STE B
Douglasville, GA 30134
(770) 771-5100
✔ PECOS✔ Accepts MedicareSame address

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 11D1036452

Arbor Place Family Medicine PC · Douglasville, GA
Active · expires Feb 3, 2027
CLIA Number11D1036452
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorThomas C. Varughese
Laboratory Phone(404) 918-2646
Laboratory LocationArbor Place Family Medicine PC6130 Prestley Mill Road Suite B, Douglasville, GA 30134
CLIA data matches this NPI record on: Address Name
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 Arbor Place Family Medicine's NPI number?

The NPI number for Arbor Place Family Medicine is 1942482310. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Arbor Place Family Medicine located?

Arbor Place Family Medicine is located at 6130 Prestley Mill Rd Ste B, Douglasville, GA 30134. The listed phone number is (770) 771-5100.

What is Arbor Place Family Medicine's specialty?

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

Is Arbor Place Family Medicine enrolled in Medicare?

Yes. Arbor Place Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arbor Place Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Arbor Place Family 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 Arbor Place Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1036452) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arbor Place Family Medicine accept?

Health plans from Alliant Health Plans, Inc. list Arbor Place Family 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 Arbor Place Family Medicine was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.