West Atlanta Primary Care
NPI 1629724752 · Primary Care Clinic/Center · Douglasville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
West Atlanta Primary Care is a Primary Care Clinic/Center organization in Douglasville, GA (NPI 1629724752).
Provider details
- NPI number
- 1629724752
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shivam Desai, Owner(678) 401-4597
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2023-03-25
- Certified
- 2023-03-25
Frequently asked questions
- What is West Atlanta Primary Care's NPI number?
- West Atlanta Primary Care's National Provider Identifier (NPI) is 1629724752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is West Atlanta Primary Care?
- West Atlanta Primary Care is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is West Atlanta Primary Care located?
- West Atlanta Primary Care's practice location on file with NPPES is 4904 Timber Ridge Dr Ste 102, Douglasville, GA 30135-1831.
- What is West Atlanta Primary Care's phone number?
- The practice phone number listed in the NPPES registry for West Atlanta Primary Care is (678) 521-0935.
- Does West Atlanta Primary Care accept Medicare?
- West Atlanta Primary Care 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 West Atlanta Primary Care?
- The authorized official listed on West Atlanta Primary Care's NPPES record is Shivam Desai, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is West Atlanta Primary Care's NPI active?
- Yes — West Atlanta Primary Care's NPI (1629724752) is active in the NPPES registry as of the last update on 2023-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.