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
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)
Commonwealth Primary Care 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 Commonwealth Primary Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2070378
Commonwealth Primary Care, LLC · Cumming, GAFrequently 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.
Is Commonwealth Primary Care enrolled in Medicare?
Yes. Commonwealth Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Commonwealth Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Commonwealth Primary Care. 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 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.
What insurance does Commonwealth Primary Care accept?
Health plans from Ambetter Health list Commonwealth Primary Care 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 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
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## 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.