MIDDLE GEORGIA PRIMARY CARE NPI 1699226001

NPI Information

  • NPI: 1699226001
  • Provider Name: MIDDLE GEORGIA PRIMARY CARE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 11D1001028
  • Address: 1115 MORNINGSIDE DRIVE
    PERRY, GA
    ZIP 31069
  • Phone: (478) 988-3060

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NPI Details

MIDDLE GEORGIA PRIMARY CARE is a family nurse practitioner in Perry, GA. MIDDLE GEORGIA PRIMARY CARE NPI is 1699226001. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1115 MORNINGSIDE DRIVE
PERRY, GA
ZIP 31069
Phone: (478) 988-3060

The provider's authorized official is Appavuchetty Soundappan .
The authorized official title is Doctor and has the following contact phone number (478) 988-3060.

The CLIA number assigned to this NPI record is 11D1001028 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/20/2016.

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
1363LF0000XNurse PractitionerFamily215936GEORGIAYes

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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