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PRIMARY CARE INC NPI 1033212634


NPI Information

NPI: 1033212634
Provider Name: PRIMARY CARE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2099096

Address:
315 S BLVD DR
BAINBRIDGE, GA
ZIP 39819
Phone: (229) 243-8000
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PRIMARY CARE INC is a family medicine in Bainbridge, GA. The provider is family 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 family medicine is not limited by age, sex, organ system, or disease entity. 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 8/22/2020.


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 MedicineYes
2207R00000XInternal MedicineX
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismX
4207V00000XObstetrics & GynecologyX
5208000000XPediatricsX

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.