Primary Care Of Southwest Georgia, Inc

LBN: Primary Care Of Southwest Georgia, Inc
Primary Care Of Southwest Georgia, Inc is an health care organization with primary practice located at 916 S Broad St Unit B-2, Thomasville GA 31792-6113. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Primary Care Of Southwest Georgia, Inc can be contacted via phone (229) 226-8800, or through James, Edwin via phone (229) 723-2660.

Contact Information

Primary practice address
916 S Broad St Unit B-2 Thomasville GA 31792-6113
Phone: (229) 226-8800
Fax: (229) 226-2036
Website:
Map and Directions
Authorized official contact:
Name: James, Edwin
Phone: (229) 723-2660

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1992102073
LBN Legal business name Primary Care Of Southwest Georgia, Inc
DBA Doing business as
Authorized official James, Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2014
Last updated Apr 6th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992102073 NPPES
Georgia MEDICAID 003155529A

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