Organization Active NPI

New Horizon Primary Care, LLC

Doing business as Westside Medical

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1770794851
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEW HORIZON PRIMARY CARE, LLC
Doing business as
Westside Medical
Practice address
2660 Montpelier Ave
Macon, GA 31204-5226
Phone
(478) 743-8316
Fax
(748) 743-1824
NPI assigned
May 24, 2007
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Dr. Peter E Allotey, M.D.NPI 1164482808
Title
President
Phone
(478) 743-8316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X GA Primary

Addresses

Primary practice location

2660 Montpelier Ave
Macon, GA 31204-5226

Mailing address

2660 Montpelier Ave
Macon, GA 31204-5226
Phone (478) 743-8316

Other identifiers 2

IdentifierTypeStateIssuer
300036064AMedicaidGA
11D0993815OtherGACLIA NUMBER

Other names 1

  • Westside Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000662 GA Part B Supplier - Clinic/Group Practice 5991989014 Receives reassigned benefits from 4 practitioners
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

2660 Montpelier Ave
Macon, GA 31204
Phone (478) 741-4332

5398 Thomaston Rd
Macon, GA 31220
Phone (478) 476-8868

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1770794851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 MONTPELIER AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045226",
            "telephone_number": "478-743-8316",
            "fax_number": "478-743-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 MONTPELIER AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045226",
            "telephone_number": "478-743-8316",
            "fax_number": "748-743-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "ALLOTEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-743-8316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300036064A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "11D0993815",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.