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ROMULUS PRIMARY CARE SERVICES LLC
NPI 1972056380
Family Medicine in Austell, GA

Active since August 02, 2016CLIA Certified · 2 labs
4439 AUSTELL RD, AUSTELL, GA 30106(770) 675-7407(770) 693-5922 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Jul 11, 2024, May 4, 2022 and 2 more (5 updates tracked since 2020).

About Romulus Primary Care Services Llc NPPES

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

ROMULUS PRIMARY CARE SERVICES LLC (NPI 1972056380) is a healthcare organization registered as a family medicine in Austell, Georgia and active in the NPI registry since August 2016. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Forest Park, and lists Chandranakth Subburathinam, Credential Manager, as its authorized official.

NPPES Registry Identity

NPI1972056380
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROMULUS PRIMARY CARE SERVICES LLC
Location Address4439 AUSTELL RDAustell, GA 30106-1839
Mailing Address675 Chestatee Creek Dr NwAcworth, GA 30101-3598 · (678) 977-6919
Phone(770) 675-7407
Fax(770) 693-5922
Organization SubpartNo
Authorized OfficialChandranakth SubburathinamCredential Manager · (478) 285-5452
Enumeration DateAugust 2, 2016
Last NPPES UpdateMarch 19, 20265 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1972056380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4439 AUSTELL RD, Austell, GA 30106
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Secondary Practice Location 1

Location 14940 Governors Dr Ste 209Forest Park, GA 30297-2186 · Phone (770) 277-1209

Other Identifiers 1

Medicaid003145276CGA

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 2

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 11D2234394

Romulus Primary Care Services · Austell, GA
Active · expires Aug 30, 2027
CLIA Number11D2234394
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorRose Romulus
Laboratory Phone(770) 675-7407
Laboratory LocationRomulus Primary Care Services4439 Austell Road, Austell, GA 30106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2208380

Romulus Primary Care · Forest Park, GA
Active · expires Jan 5, 2027
CLIA Number11D2208380
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorRose Romulus
Laboratory Phone(770) 277-1290
Laboratory LocationRomulus Primary Care4940 Governors Drive Suite 209, Forest Park, GA 30297
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 2

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

UNICARE FAMILY PRACTICE
Clinic/Center (Primary Care)
4439 AUSTELL RD
AUSTELL, GA 30106
Cobb County (678) 677-9699
ROSE ROMULUS
Nurse Practitioner (Family)
4439 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 675-7407

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 Romulus Primary Care Services LLC's NPI number?

The NPI number for Romulus Primary Care Services LLC is 1972056380. It was assigned to this organization in the NPPES registry on August 2, 2016.

Where is Romulus Primary Care Services LLC located?

Romulus Primary Care Services LLC is located at 4439 Austell Rd, Austell, GA 30106. The listed phone number is (770) 675-7407.

What is Romulus Primary Care Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Romulus Primary Care Services LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Romulus Primary Care Services LLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.