PRIMARY CARE OF SOUTHWEST GEORGIA, INC. – NPI #1366641318
Clinic/Center

PRIMARY CARE OF SOUTHWEST GEORGIA, INC. is an AHC clinic located in THOMASVILLE, GA. NPPES has assigned the NPI number 1366641318 to PRIMARY CARE OF SOUTHWEST GEORGIA, INC. on July 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Mar 03, 2022. 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 OF SOUTHWEST GEORGIA, INC. below.

NPI Profile for
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.

NPI Number
1366641318
Enumeration Date

(about 19 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
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Primary location
454 SMITH AVE
THOMASVILLE, GA 31792-5535
Phone: (229) 227-5510 Fax: (229) 227-5527
Mailing address
PO BOX 1479
THOMASVILLE, GA 31799-1479
Phone: (229) 227-5510 Fax: (229) 227-5527
Organization Subpart
No
Authorized Official
ANGELA MCVEY
CEO
Phone: (229) 723-2660
Updated
Certification Date
Mar 03, 2022

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.

Identifiers

Identifiers for PRIMARY CARE OF SOUTHWEST GEORGIA, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA024893266C
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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207Q00000X
- Family Medicine

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.