NPI age
18 years
Enumerated 2008-04-04
● Active Type 2 · Organization
Subpart
Primary Care Group Of West Georgia
Primary Care Group Of West Georgia is 1 of 539 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Putnam
Administrator
Last NPPES update
2008-04-04
Source: monthly bulk 2026-05
How this organization compares
Across 539 active internal medicine providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 60% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
7869 Villa Rica Hwy
Dallas, GA 301578638
Mailing address
100 Professional Pl, Suite 204
Carrollton, GA 301173874
Authorized official
Trebba Putnam, CPC MPA
Administrator
📞 7708381570
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Erin Costanzo, APRN FNPC Nurse Practitioner NPI 1649244997
- Giang Ha, MD Family Medicine NPI 1114513124
- Jarrett Hayles-Patterson, FNP-C Nurse Practitioner NPI 1902542152
- Michael Miles, MD Family Medicine NPI 1760458319
- Jessica Palombo, FNP-C Nurse Practitioner NPI 1518524230
Specialties
-
Internal Medicine PrimaryAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pulmonary Rehab
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Primary Care Group Of West Georgia.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.