Organization · Type 2 NPI

Georgia Primary Care LLC

Primary Care Clinic/Center · Macon, GA

NPI number 1548025596 Active

Practice location

866 Orange Ter
Macon, GA 31201-2151

Fax (478) 202-2488

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed
Primary Care Nurse Practitioner	363LP2300X	None listed

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NPI record

NPI: 1548025596
Entity type: Organization (Type 2)
Issued: Feb 19, 2024
Last updated: Jun 24, 2026
Status: Active

Other names

<unavail>
Primary Clinic · doing business as
Primary Clinic · doing business as
Primary Clinic Senior Care · doing business as

Authorized official

Larry A Montgomery, NURSE PRACTITIONER
Owner
(918) 340-6477

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548025596

Georgia Primary Care LLC's National Provider Identifier is 1548025596, issued on Feb 19, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Macon, GA. The record was last updated on Jun 24, 2026.