COMMONWEALTH PRIMARY CARE
NPI 1982033411
Clinic/Center - Primary Care in Cumming, GA
About Commonwealth Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMONWEALTH PRIMARY CARE (NPI 1982033411) is a healthcare organization registered as a primary care in Cumming, Georgia and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Jayasri Mallavarapu, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 11D2070378
Commonwealth Primary Care, LLC · Cumming, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CUMMING, GA 30041
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 Commonwealth Primary Care's NPI number?
The NPI number for Commonwealth Primary Care is 1982033411. It was assigned to this organization in the NPPES registry on November 5, 2013.
Where is Commonwealth Primary Care located?
Commonwealth Primary Care is located at 1614 Peachtree Pkwy Suite # 200, Cumming, GA 30041. The listed phone number is (678) 455-2295.
What is Commonwealth Primary Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Commonwealth Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2070378) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Commonwealth Primary Care was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Commonwealth Primary Care · NPI 1982033411
Primary Care organization in Cumming, Georgia. Organization record, active in the CMS NPPES registry since November 5, 2013.
## Identity
- **NPI:** 1982033411 (Entity type: Organization)
- **Enumerated:** November 5, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jayasri Mallavarapu, CEO
## Practice location
- **Address:** 1614 PEACHTREE PKWY, SUITE # 200, Cumming, GA 30041-6883
- **Phone:** (678) 455-2295 · **Fax:** (678) 455-2279
## Record status
- **NPPES last updated:** March 25, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982033411) · Data from the CMS NPPES public registry.