PRIMARY CARE INC NPI 1033212634

NPI Information

  • NPI: 1033212634
  • Provider Name: PRIMARY CARE INC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 11D2099096
  • Address: 315 S BLVD DR
    BAINBRIDGE, GA
    ZIP 39819
  • Phone: (229) 243-8000

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NPI Details

PRIMARY CARE INC is an obstetrics gynecology in Bainbridge, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PRIMARY CARE INC NPI is 1033212634. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

315 S BLVD DR
BAINBRIDGE, GA
ZIP 39819
Phone: (229) 243-8000
Fax: (229) 246-7026

The provider's authorized official is Martha Reynolds .
The authorized official title is Practice Administrator and has the following contact phone number (229) 243-8000.

The CLIA number assigned to this NPI record is 11D2099096 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4208000000XPediatricsNo
5207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
185001945GMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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