Classicare Medical Consult PC, Inc
NPI 1922130012 · Internal Medicine Physician · Douglasville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Classicare Medical Consult PC, Inc is a Internal Medicine Physician organization in Douglasville, GA (NPI 1922130012).
Provider details
- NPI number
- 1922130012
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Xiangdong You, President(770) 489-5000
- License
- 050465 (GA)
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
19 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
Other names (DBA / former)
- Doing business as
- Classicare Internal Medicine
Additional practice locations (1)
- 6025 Professional ParkwaySuite 102Douglasville, GA 30134-5610Phone: (770) 489-5000Fax: (770) 489-0305
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2019-09-17
Frequently asked questions
- What is Classicare Medical Consult PC, Inc's NPI number?
- Classicare Medical Consult PC, Inc's National Provider Identifier (NPI) is 1922130012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Classicare Medical Consult PC, Inc?
- Classicare Medical Consult PC, Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Classicare Medical Consult PC, Inc located?
- Classicare Medical Consult PC, Inc's practice location on file with NPPES is 4904 Timber Ridge Dr Ste 303, Douglasville, GA 30135-1831.
- What is Classicare Medical Consult PC, Inc's phone number?
- The practice phone number listed in the NPPES registry for Classicare Medical Consult PC, Inc is (770) 489-5000.
- Does Classicare Medical Consult PC, Inc accept Medicare?
- Classicare Medical Consult PC, Inc 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 Classicare Medical Consult PC, Inc?
- The authorized official listed on Classicare Medical Consult PC, Inc's NPPES record is Xiangdong You, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Classicare Medical Consult PC, Inc's NPI active?
- Yes — Classicare Medical Consult PC, Inc's NPI (1922130012) is active in the NPPES registry as of the last update on 2019-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.