FIRST CHOICE PRIMARY CARE, INC (NPI# 1740666767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740666767 |
| Entity Type | Organization |
| Organization Name | FIRST CHOICE PRIMARY CARE, INC |
| Other Organization Name | INGRAM-PYE HEALTH CENTER |
| Practice Address |
855 Anthony Rd Macon GA 31204-6266 |
| Mailing Address |
Po Box 4363 Macon GA 31208-4363 |
| Practice Telephone | 4787874266 |
| Practice Fax Number | 4787874199 |
| Mailing Telephone | 4787874266 |
| Mailing Fax Number | 4787874199 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | KATHERINE MCLEOD (CEO) |
| Authorized Official Telephone | 4787874266 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| 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 Name | Type Code |
|---|---|
| Ingram-Pye Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348011 | First Choice Primary Care, Inc | Pharmacy | 400 Poplar St Rm 125, Macon, GA 31201-3336 | 2020-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIRST CHOICE PRIMARY CARE, INC. | 770 Walnut St Ste 7a, Macon, GA 31201-0312 |
| Street Address |
855 ANTHONY RD |
| City | MACON |
| State | GA |
| Zip Code | 31204-6266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558714329 | First Choice Primary Care, Inc. | Clinic/Center | 174 Walnut St, Macon, GA 31201-3440 | 2016-07-18 |
| 1023492162 | First Choice Primary Care, Inc. | Clinic/Center | 171 Emery Hwy, Macon, GA 31217-3666 | 2015-07-18 |
| 1215311352 | Northeast Missouri Health Council, Inc | Clinic/Center | 209 N Missouri St, Macon, MO 63552-2151 | 2015-07-18 |
| 1487038881 | Northeast Missouri Health Council, Inc | Clinic/Center | 209 N Missouri St, Macon, MO 63552-2151 | 2015-07-15 |
| 1336332857 | First Choice Primary Care, Inc. | Clinic/Center | 770 Walnut St, Macon, GA 31201-7307 | 2007-08-20 |
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| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
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| 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.