Primary Care Group of West Georgia

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE GROUP OF WEST GEORGIA

Practice address

100 Professional PL
Suite 204
Carrollton, GA 30117-3874

Phone

(770) 834-3351

Fax

(770) 838-1722

NPI assigned

Nov 2, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rodney P Smith

Title

Practice Administrator

Phone

(770) 838-1570

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Primary Care Group of West Georgia

  dba Pulmonary Rehab

  • Pulmonary Disease Physician
  • Dallas, GA
  • NPI 1598938185
  NPPES parent name

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Calleigh Rebecca Hitt

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1932858065
  Medicare reassignment Care Compare group NPD
• Lauren Holcombe, NP-C

  • Adult Health Nurse Practitioner
  • Carrollton, GA
  • NPI 1487153839
  Medicare reassignment Care Compare group NPD
• Joseph Jellicorse, M.D.

  • Family Medicine Physician
  • Carrollton, GA
  • NPI 1932190535
  Medicare reassignment Care Compare group NPD
• Jessica Kearney, APRN

  • Adult Health Nurse Practitioner
  • Whitesburg, GA
  • NPI 1538652987
  Medicare reassignment Care Compare group NPD
• Hermogenes Pagsisihan, M.D.

  • Family Medicine Physician
  • Carrollton, GA
  • NPI 1184615759
  Medicare reassignment Care Compare group NPD
• Jeffrey S. Reid, M.D.

  • Pulmonary Disease Physician
  • Carrollton, GA
  • NPI 1639104748
  Medicare reassignment Care Compare group NPD
• Lindsey Baskin Roenigk, MD

  • Pulmonary Disease Physician
  • Carrollton, GA
  • NPI 1467404871
  Medicare reassignment Care Compare group NPD
• Ashley Arrington Skinner, NP-C

  • Nurse Practitioner
  • Carrollton, GA
  • NPI 1841866225
  Medicare reassignment Care Compare group NPD
• Elizabeth K Scholl, PA-C

  • Medical Physician Assistant
  • Carrollton, GA
  • NPI 1972605301
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1386635852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PL STE 204",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173802",
            "telephone_number": "770-834-3351",
            "fax_number": "770-838-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PL",
            "address_2": "SUITE 204",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173874",
            "telephone_number": "770-834-3351",
            "fax_number": "770-838-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Alabama Ave S",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102304",
            "country_code": "US",
            "telephone_number": "770-834-3351 x254",
            "fax_number": "770-838-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY CARE GROUP OF WEST GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-838-1570"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CA9972",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James G Prempeh, M.D.
• Cherice Prescott, LPN
• Susan R. Prescott, NP
• Corie Price, NP-C
• Lauren Ashley Price, PA-C
• Kimberly Ann Prince Korobov, MA, M.DIV, LPC, NCC
• Elizabeth Morris Prince, ED.S.
• Maxine Prince
• Professional Park Medical Services, P.C.
• Publix Pharmacy

• Family Medicine Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.

Verify at the official NPI Registry.