Prime Direct Care

LBN: Prime Direct Care
Prime Direct Care is an health care organization with primary practice located at 9070 Peridot Pkwy , Stockbridge GA 30281-9417. The organization recently has only one registered license in Nursing Service Providers / General Practice, which is considered as the primary health care specialty. Prime Direct Care can be contacted via phone (678) 907-0663, or through Randolph, Bridget via phone (678) 907-0663.

Contact Information

Primary practice address
9070 Peridot Pkwy Stockbridge GA 30281-9417
Phone: (678) 907-0663
Fax: (770) 261-1241
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Bridget Nurse Practitioner (NP)
Phone: (678) 907-0663

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X

Profile Details

NPI number 1881358125
LBN Legal business name Prime Direct Care
DBA Doing business as
Authorized official Randolph, Bridget Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2021
Last updated Oct 22nd, 2021 - about 4 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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