SOUTHWEST GEORGIA HEALTHCARE CLINICS INC – NPI #1881867000
Clinic/Center

SOUTHWEST GEORGIA HEALTHCARE CLINICS INC is an AHC clinic located in DONALSONVILLE, GA. NPPES has assigned the NPI number 1881867000 to SOUTHWEST GEORGIA HEALTHCARE CLINICS INC on April 09, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is SOUTHWEST GEORGIA HEALTHCARE CLINICS PEDIATRICS. This provider is also associated with 2 additional names listed below. 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 3 years ago on Aug 04, 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 SOUTHWEST GEORGIA HEALTHCARE CLINICS INC below.

NPI Profile for
SOUTHWEST GEORGIA HEALTHCARE CLINICS INC

NPI Number
1881867000
Enumeration Date

(more than 18 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
SOUTHWEST GEORGIA HEALTHCARE CLINICS INC
Former Legal Business Name: SOUTHWEST GEORGIA HEALTHCARE CLINICS PEDIATRICS
Other name(s)
All associated names:
Former Legal Business Name
SOUTHWEST GEORGIA HEALTHCARE CLINICS PEDIATRICS
Doing Business As (dba)
Southwest Georgia Healthcare Clinics,Inc
Primary location
205 BRESEE STREET
DONALSONVILLE, GA 39845
Phone: (229) 524-1307 Fax: (229) 524-6268
Mailing address
Same as primary location
Organization Subpart
Yes - SOUTHWEST GEORGIA HEALTHCARE CLINICS INC is subpart of another organization.
Authorized Official
DONNA WILLIAMS
CEO
Phone: (229) 524-1307
Updated
Certification Date
Aug 04, 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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261QM1300X
- Clinic/Center / Multi-Specialty
208000000X
- Pediatrics

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.