Community Primary Care of Georgia LLC
NPI 1336492511 · Geriatric Medicine (Family Medicine) Physician · Gray, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Community Primary Care of Georgia LLC is a Geriatric Medicine (Family Medicine) Physician organization in Gray, GA (NPI 1336492511).
Provider details
- NPI number
- 1336492511
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elize Joseph, Director of Practice Management(478) 621-2100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4421 Carnes StAcworth, GA 30101-5305Phone: (478) 621-2072
Registry dates
- Enumerated
- 2012-10-25
- Last updated
- 2019-06-28
Frequently asked questions
- What is Community Primary Care of Georgia LLC's NPI number?
- Community Primary Care of Georgia LLC's National Provider Identifier (NPI) is 1336492511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Primary Care of Georgia LLC?
- Community Primary Care of Georgia LLC is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Community Primary Care of Georgia LLC located?
- Community Primary Care of Georgia LLC's practice location on file with NPPES is 1005 Boulder Dr, Gray, GA 31032-6141.
- What is Community Primary Care of Georgia LLC's phone number?
- The practice phone number listed in the NPPES registry for Community Primary Care of Georgia LLC is (478) 621-2100.
- Does Community Primary Care of Georgia LLC accept Medicare?
- Community Primary Care of Georgia LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Community Primary Care of Georgia LLC?
- The authorized official listed on Community Primary Care of Georgia LLC's NPPES record is Elize Joseph, Director of Practice Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Primary Care of Georgia LLC's NPI active?
- Yes — Community Primary Care of Georgia LLC's NPI (1336492511) is active in the NPPES registry as of the last update on 2019-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.