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

Active since December 19, 2016
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: October 25, 2026.

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 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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primary Care Services At Lanier Village Estates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Primary Care Services At Lanier Village Estates, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1497739429
4000 VILLAGE VIEW DRIVE
Gainesville, GA 30506
(678) 450-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1629375092
686 JEFF DAVIS DR
Spartanburg, SC 29303
(864) 560-5620
✔ PECOS✔ Accepts Medicare116 mi
Clinical Social Worker
NPI 1548932577
4001 TUCKASEEGEE RD
Charlotte, NC 28208
(908) 400-6912
✔ PECOS✔ Accepts Medicare179 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 Waiver 11D2155678

Primary Care Services At Lanier Village · Gainesville, GA
Expired · 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.

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 Acts Signature Community Services, Inc.'s NPI number?

The NPI number for Acts Signature Community Services, Inc. is 1962947408. It was assigned to this organization in the NPPES registry on December 19, 2016. The provider is doing business as Primary Care Services At Lanier Village Estates.

Where is Acts Signature Community Services, Inc. located?

Acts Signature Community Services, Inc. is located at 4000 Village View Dr, Gainesville, GA 30506. The listed phone number is (215) 661-8330.

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

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

Is Acts Signature Community Services, Inc. enrolled in Medicare?

Yes. Acts Signature Community Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acts Signature Community Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Acts Signature Community Services, Inc., in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice 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 Acts Signature Community Services, Inc. was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.