PRIMARY CARE SERVICES AT LANIER VILLAGE ESTATES
NPI 1962947408
Internal Medicine in Gainesville, GA

Q: What is Acts Signature Community Services, Inc.'s specialty?

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

Active since December 19, 2016CLIA 11D2155678 · Waiver

4000 VILLAGE VIEW DR, GAINESVILLE, GA 30506(215) 661-8330(215) 661-8336 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Primary Care Services At Lanier Village Estates NPPES

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

PRIMARY CARE SERVICES AT LANIER VILLAGE ESTATES (NPI 1962947408) is a healthcare organization registered as an internal medicine in Gainesville, Georgia and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Susan Ahern, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962947408

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameACTS SIGNATURE COMMUNITY SERVICES, INC.

Location Address4000 VILLAGE VIEW DRGainesville, GA 30506-4331

Mailing Address420 Delaware DrFort Washington, PA 19034-2711 · (215) 661-8330 · Fax (215) 661-8336

Phone(215) 661-8330

Fax(215) 661-8336

Organization SubpartNo

Authorized OfficialSusan AhernSvp, Cfo · (215) 661-8330

Enumeration DateDecember 19, 2016

Last NPPES UpdateFebruary 20, 2024

NPPES CertifiedFebruary 20, 2024

✔ NPI 1962947408 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.

4000 VILLAGE VIEW DR, Gainesville, GA 30506

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Other Names 1

Doing Business AsPrimary Care Services At Lanier Village Estates

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 11D2155678

Primary Care Services At Lanier Village · Gainesville, GA

Active · expires Oct 2, 2026

CLIA Number11D2155678

Laboratory TypePhysician Office

Certificate Effective DateOctober 3, 2024

Certificate Expiration DateOctober 2, 2026

Laboratory DirectorAnga-Lee Tipton

Laboratory Phone(678) 450-3000

Laboratory LocationPrimary Care Services At Lanier Village4000 Village View Drive Lainer Village Estates, Gainesville, GA 30506

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACTS RETIREMENT-LIFE COMMUNITIES, INC.

Internal Medicine