Active NPI
West Georgia Internal Medicine PC
- Internal Medicine Physician
- Carrollton, GA
National Provider Identifier
1194793307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WEST GEORGIA INTERNAL MEDICINE PC
- Practice address
- 706 Dixie St Ste 300
Carrollton, GA 30117-3890 - Phone
- (770) 834-6208
- Fax
- (770) 830-7620
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy Barge
- Title
- Administrator
- Phone
- (770) 834-6208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
706 Dixie St Ste 300
Carrollton, GA 30117-3890
Mailing address
706 Dixie St Ste 300
Carrollton, GA 30117-3890
Phone (770) 834-6208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85002004G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0256219 | West Georgia Internal Medicine PC | Accreditation | Aug 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
101 Doctors Dr
Carrollton, GA 30117
Phone (770) 812-8863
706 Dixie St
Ste 300
Carrollton, GA 30117
Phone (770) 834-6208
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1972594166
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1992796882
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1417948308
-
- Adult Medicine Physician
- Carrollton, GA
- NPI 1003444605
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1386625200
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1861483638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658707200000",
"number": "1194793307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 DIXIE ST STE 300",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173890",
"telephone_number": "770-834-6208",
"fax_number": "770-830-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 DIXIE ST STE 300",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173890",
"telephone_number": "770-834-6208",
"fax_number": "770-830-7620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST GEORGIA INTERNAL MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A",
"authorized_official_last_name": "BARGE",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "770-834-6208"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85002004G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
- West Georgia Endoscopy Center
- West Georgia Eye Care
- West Georgia Gastroenterology Associates,PC
- West Georgia Healthcare
- West Georgia Healthcare for Women, P.C.
- West Georgia Obstetrics & Gynecology P.C.
- West Georgia Pathology, LLC
- West Georgia Podiatry Assoc.
- West Georgia Surgery Center, LLC
- West Georgia Urology Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.