SOUTH CENTRAL PRIMARY CARE CENTER


Address: 200 S Cherry St, Ocilla, GA 31774
Phone: 2294685911

SOUTH CENTRAL PRIMARY CARE CENTER (NPI# 1649356981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649356981
Entity Type Organization
Organization Name SOUTH CENTRAL PRIMARY CARE CENTER
Practice Address 200 S Cherry St
Ocilla
GA 31774
Mailing Address 357 Cargile Rd
Ocilla
GA 31774-1804
Practice Telephone 2294685911
Practice Fax Number 2294684247
Mailing Telephone 2294689160
Mailing Fax Number 2294685526
Enumeration Date 2006-10-30
Last Update Date 2009-05-19
Authorized Official Name MR. ROBERT B TUCKER JR. (CFO)
Authorized Official Telephone 2294689160
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 000611663G 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063840296 South Central Primary Care Center Clinic/Center 303 Shirley Ave, Ste B, Douglas, GA 31533 2013-10-25
1538390729 South Central Primary Care Center Clinic/Center 610 N Irwin Ave, Ocilla, GA 31774-0749 2009-08-05
1376624569 South Central Primary Care Center Clinic/Center 357 Cargile Rd, Ocilla, GA 31774 2006-10-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SOUTH CENTRAL PRIMARY CARE CENTER, INC. 204 E 4th St, Ocilla, GA 31774-1539

Office Location

Street Address 200 S CHERRY ST
City OCILLA
State GA
Zip Code 31774

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033595327 Irwin County Hospital Family Medicine 200 S Cherry St, Ocilla, GA 31774-1804 2015-08-10
1891938213 Asf Medical Center Inc Emergency Medicine 200 S Cherry St, Ocilla, GA 31774-1804 2009-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003463605 Mary Paulk Technician 303 N Elm Street, Ocilla, GA 31774 2019-08-20
1205106903 Tift Regional Health System Inc Internal Medicine 813 N. Irwin Avenue, Ocilla, GA 31774 2012-01-11
1497051155 Hospice Care Options Inc Hospice Care, Community Based 200 S Cherry St Ste A, Ocilla, GA 31774 2011-01-28
1578788410 Howard C Mcmahan Md Irwin Family Medicine Associates Family Medicine 361 Cargile Road, Ocilla, GA 31774 2007-04-16
1720150071 Irwin County Board of Education Local Education Agency (LEA) 210 Apple Street, Ocilla, GA 31774 2006-11-14
1376624569 South Central Primary Care Center Clinic/Center 357 Cargile Rd, Ocilla, GA 31774 2006-10-17
1508979964 Arturo Natada Ruanto Family Medicine 202 South Cherry St., Ocilla, GA 31774 2006-08-17
1861403727 A & H Drugs LLC Durable Medical Equipment & Medical Supplies 615 N. Irwin Avenue, Ocilla, GA 31774 2006-08-10
1285009555 Jessica Marie Lyons Nurse Practitioner 361 Cargile Road, Ocilla, GA 31774 2015-12-11
1831231216 Irwin County Ems Ambulance 108 Cotton Drive, Ocilla, GA 31774-0501 2007-02-13
Find all providers in zip 31774

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467094649 South Central Primary Care Center, Inc Clinic/Center 149 Chieftain Cir, Ocilla, GA 31774-2231 2019-10-09
1356709646 South Central Primary Care Center, Inc Clinic/Center 607c N Irwin Ave, Ocilla, GA 31774-5009 2016-02-02
1538390729 South Central Primary Care Center Clinic/Center 610 N Irwin Ave, Ocilla, GA 31774-0749 2009-08-05
1558447896 South Central Primary Care Center, Inc Clinic/Center 602 N Irwin Ave Ste B, Ocilla, GA 31774-5040 2006-10-30
1376624569 South Central Primary Care Center Clinic/Center 357 Cargile Rd, Ocilla, GA 31774 2006-10-17
1568963858 South Central Primary Care Center, Inc Clinic/Center 361 Cargile Rd, Ocilla, GA 31774-3606 2018-02-22
1891978854 South Central Primary Care Center, Inc. Clinic/Center 204 E 4th St, Ocilla, GA 31774-1539 2007-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891395620 Primary Health Care Center of Dade, Inc. Clinic/Center 8a Probasco Street Unit 214, Lafayette, GA 30728 2020-10-30
1366066243 Health Education Assessment and Leadership Inc Clinic/Center 225 Griffin St Nw, Atlanta, GA 30314-3917 2020-06-05
1851924377 Valley Healthcare System Clinic/Center 1458 Benning Dr, Columbus, GA 31903-2200 2020-02-13
1952941528 Curtis V. Cooper Primary Health Care, Inc Clinic/Center 400 E Broad St, Savannah, GA 31401-5104 2020-01-13
1023658523 Saint Joseph's Mercy Care Services, Inc. Clinic/Center 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 2020-01-13
1467092221 Careconnect Health, Inc. Clinic/Center 130 N Lee St, Forsyth, GA 31029-2122 2020-01-09
1417597238 The Family Health Centers of Georgia, Inc Clinic/Center 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 2020-01-09
1649810714 Careconnect Health, Inc. Clinic/Center 254 Wright Avenue, Roberta, GA 31078 2020-01-07
1437798725 Careconnect Health, Inc. Clinic/Center 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 2020-01-03
1285277608 Saint Joseph's Mercy Care Services, Inc. Clinic/Center 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 2019-10-18
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Competitor

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City OCILLA
Zip Code 31774

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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