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WEST CARROLL FAMILY HEALTHCARE
NPI 1982631321
Clinic/Center - Rural Health in Bowdon, GA

Active since June 28, 2006CLIA 11D0927021 · Microscopy
1125 E HIGHWAY 166, BOWDON, GA 30108(770) 258-5424(770) 838-8980 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About West Carroll Family Healthcare NPPES

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

WEST CARROLL FAMILY HEALTHCARE (NPI 1982631321) is a healthcare organization registered as a rural health in Bowdon, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through April 21, 2027 and lists Clint Hoffman, Sr Vp, as its authorized official.

NPPES Registry Identity

NPI1982631321
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTMC WEST CARROLL FAMILY HEALTHCARE CENTER INC
Location Address1125 E HIGHWAY 166Bowdon, GA 30108-2401
Mailing Address100 Greenway Blvd Fl 2Carrollton, GA 30117-4338 · (770) 838-8710 · Fax (770) 812-5735
Phone(770) 258-5424
Fax(770) 838-8980
Organization SubpartNo
Authorized OfficialClint HoffmanSr Vp · (770) 838-8845
Enumeration DateJune 28, 2006
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1982631321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1125 E HIGHWAY 166, Bowdon, GA 30108
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Other Names 1

Doing Business AsWest Carroll Family Healthcare

Other Identifiers 1

Medicaid000750274AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Carroll Family Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20030918000005Part A · Rural Health ClinicDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to West Carroll Family Healthcare, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Justin Lovvorn, MD
Family Practice
NPI 1871703868
1125 E HIGHWAY 166
Bowdon, GA 30108
(770) 258-5424
✔ PECOS✔ Accepts MedicareSame address
Brittany Latimer, RN, FNP
Nurse Practitioner
NPI 1326665183
1125 E HIGHWAY 166
Bowdon, GA 30108
(770) 258-5424
✔ PECOS✔ Accepts MedicareSame address
Mike Ou, M.D.
Family Practice
NPI 1063442937
1125 E HIGHWAY 166
Bowdon, GA 30108
(770) 258-5424
✔ PECOS✔ Accepts MedicareSame address
Ruth Griffin, CRNP
Nurse Practitioner
NPI 1114487105
225 MAPLE VIEW DR STE 102
Carrollton, GA 30117
(770) 812-5678
✔ PECOS✔ Accepts Medicare6.8 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 for Provider-Performed Microscopy Procedures (PPMP) 11D0927021

West Carroll Family Healthcare · Bowdon, GA
Active · expires Apr 21, 2027
CLIA Number11D0927021
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorMike Ou
Laboratory Phone(770) 258-5424
Laboratory LocationWest Carroll Family Healthcare1125 East Hwy 166, Bowdon, GA 30108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Tmc West Carroll Family Healthcare Center Inc's NPI number?

The NPI number for Tmc West Carroll Family Healthcare Center Inc is 1982631321. It was assigned to this organization in the NPPES registry on June 28, 2006. The provider is doing business as West Carroll Family Healthcare.

Where is Tmc West Carroll Family Healthcare Center Inc located?

Tmc West Carroll Family Healthcare Center Inc is located at 1125 E Highway 166, Bowdon, GA 30108. The listed phone number is (770) 258-5424.

What is Tmc West Carroll Family Healthcare Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Tmc West Carroll Family Healthcare Center Inc enrolled in Medicare?

Yes. Tmc West Carroll Family Healthcare Center Inc is registered in the Medicare PECOS enrollment system.

When is Tmc West Carroll Family Healthcare Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Georgia, Rural Health Clinic) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tmc West Carroll Family Healthcare Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Tmc West Carroll Family Healthcare Center Inc, in Family Practice 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tmc West Carroll Family Healthcare Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0927021) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tmc West Carroll Family Healthcare Center Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tmc West Carroll Family Healthcare Center Inc 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 Tmc West Carroll Family Healthcare Center Inc was last updated on February 29, 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.