West Atlanta Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WEST ATLANTA PRIMARY CARE

Practice address

4904 Timber Ridge Dr Ste 102
Douglasville, GA 30135-1831

Phone

(678) 521-0935

NPI assigned

Feb 28, 2022

Last updated

Mar 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shivam Desai, MDNPI 1528591716

Title

Owner

Phone

(678) 401-4597

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAFHCD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shivam Desai, MD

  • Family Medicine Physician
  • Douglasville, GA
  • NPI 1528591716
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679702400000",
    "number": "1629724752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 TIMBER RIDGE DR STE 102",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351831",
            "telephone_number": "678-521-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 TIMBER RIDGE DR STE 102",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351831",
            "telephone_number": "678-521-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ATLANTA PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHIVAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-401-4597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstar Physicians Group Douglas Hospitalists, LLC
• Wellstreet of Georgia PC (Piedmont Urgent Care by Wellstreet)
• Alisha Welsh
• West Atlanta Internal Medicine PC
• West Atlanta Orthopaedic Center
• West Georgia Audiology (Beltone)
• West Georgia Community Care, LLC
• West Georgia Psychological Services
• West Health Services LLC
• West Metro Endoscopy Center, LLC (West Metro Endoscopy Center)

• Primary Care Clinic/Center in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; 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.