PRIMARY CARE CENTER NORTH – NPI #1275314767
Clinic/Center

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

Health Care Provider Taxonomy Code for Clinic/Center

PRIMARY CARE CENTER NORTH is an AHC clinic located in MONTICELLO, GA. NPPES has assigned the NPI number 1275314767 to PRIMARY CARE CENTER NORTH on October 10, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMARY CARE CENTER NORTH” is a dba name, the actual legal business name for this organization is JASPER HEALTH SERVICES INC.. The primary taxonomy selected by this provider is 261QC0050X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Critical Access Hospital

The NPI profile was previously updated about 3 years ago on Oct 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMARY CARE CENTER NORTH below.

NPI Profile for
JASPER HEALTH SERVICES INC.

NPI Number
1275314767
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JASPER HEALTH SERVICES INC.
Doing Business As (dba): PRIMARY CARE CENTER NORTH
Primary location
4100 JACKSON LAKE RD
MONTICELLO, GA 31064
Phone: (706) 468-4588 Fax: (706) 468-4589
Mailing address
898 COLLEGE ST
MONTICELLO, GA 31064-1258
Phone: (706) 468-4595 Fax:
Organization Subpart
No
Authorized Official
ROBERT CUMBIE
ADMINISTRATOR
Phone: (706) 468-4595
Updated
Certification Date
Oct 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QC0050X
- Clinic/Center / Critical Access Hospital (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.