PRIMARY CARE OF SOUTHWEST GEORGIA, INC


Address: 916 S Broad St, Unit B-2, Thomasville, GA 31792-6113
Phone: 2292268800

PRIMARY CARE OF SOUTHWEST GEORGIA, INC (NPI# 1992102073) 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) 1992102073
Entity Type Organization
Organization Name PRIMARY CARE OF SOUTHWEST GEORGIA, INC
Practice Address 916 S Broad St
Unit B-2
Thomasville
GA 31792-6113
Mailing Address Po Box 1479
Thomasville
GA 31799-1479
Practice Telephone 2292268800
Practice Fax Number 2292262036
Mailing Telephone 2292268800
Mailing Fax Number 2292262036
Enumeration Date 2014-12-04
Last Update Date 2015-04-06
Authorized Official Name MR. EDWIN JAMES (CFO)
Authorized Official Telephone 2297232660
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 003155529A 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407375686 Primary Care of Southwest Georgia, Inc Clinic/Center 4681 Us Highway 84 Byp W, Thomasville, GA 31792-2607 2017-09-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PRIMARY CARE OF SOUTHWEST GEORGIA, INC. 360 College St, Blakely, GA 39823-2554

Office Location

Street Address 916 S BROAD ST
UNIT B-2
City THOMASVILLE
State GA
Zip Code 31792-6113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932154176 Andrea M Hargraves Advanced Practice Midwife 916 S Broad St, Unit B-2, Thomasville, GA 31792-6113 2006-05-24
1689239840 Aimee A Gavette Advanced Practice Midwife 916 S Broad St, Thomasville, GA 31792-6113 2019-05-03
1285818757 Maria Mock Advanced Practice Midwife 916 S Broad St, Thomasville, GA 31792-6113 2007-12-20
1154528685 Elizabeth Robin Wilson Advanced Practice Midwife 916 S Broad St, Thomasville, GA 31792-6113 2007-06-28
1639254790 Rebecca Sanders Family Medicine 916 S Broad St, Thomasville, GA 31792 2006-10-26
1346285475 Rita M Ray Advanced Practice Midwife 916 S Broad St, Thomasville, GA 31792-6113 2006-06-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245739879 Georgia Pines Community Service Board Community/Behavioral Health 407 Cloverdale Drive, Thomasville, GA 31792 2018-02-09
1932613551 Diana Diaz Physician Assistant 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 2017-11-17
1194249425 Bobbie Frazier Contractor 400 Cloverdale Dr, Thomasville, GA 31792 2017-07-28
1598132292 Southern Scripts, LLC Pharmacy 501 Gordon Avenue, Thomasville, GA 31792 2015-08-28
1508248915 Elizabeth Nicole Keen Behavioral Analyst 121 Covington Ave Apt 9, Thomasville, GA 31792 2015-06-22
1417341579 Sheila L Stanley Counselor 301 Summercreek Cove, Thomasville, GA 31792 2015-03-26
1457749301 Ashley Lamb Speech-Language Pathologist 1203 East Jackson Street, Thomasville, GA 31792 2014-12-30
1831403880 Somnoquest Durable Medical Equipment & Medical Supplies 556 Hall Road, Thomasville, GA 31792 2010-08-02
1508000183 Kashyap B Choksi Internal Medicine 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 2009-04-27
1205008786 Mark J Glaccum Chiropractor 415 Gordon Avenue, Thomasville, GA 31792 2008-03-25
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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
1235489683 Albany Area Primary Health Care, Inc Clinic/Center 14540 Us Hwy 19 S Ste#1, Thomasville, GA 31757 2012-09-13
1407375686 Primary Care of Southwest Georgia, Inc Clinic/Center 4681 Us Highway 84 Byp W, Thomasville, GA 31792-2607 2017-09-19
1225445331 Gaston Family Health Services Inc Clinic/Center 611 Randolph St, Thomasville, NC 27360-5126 2014-07-21

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 THOMASVILLE
Zip Code 31792

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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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