Organization · Type 2 NPI

Primary Care of Southwest Georgia, Inc.

Federally Qualified Health Center (FQHC) · Bainbridge, GA

NPI number 1821471277 Active

Practice location

509 Wheat Ave
Bainbridge, GA 39819-4321

Call (229) 416-4421 Map

Mailing address

360 College St
Blakely, GA 39823-2554

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

NPI record

NPI: 1821471277
Entity type: Organization (Type 2)
Issued: Jul 2, 2015
Last updated: Jul 2, 2015
Status: Active
Subpart: Yes of Primary Care of Southwest Georgia, Inc.

Other names

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Primary Care of Southwest Georgia- Bainbridge · doing business as

Authorized official

Mr. Edwin James
Chief Financial Officer
(229) 723-2660

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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 1821471277

Primary Care of Southwest Georgia, Inc.'s National Provider Identifier is 1821471277, issued on Jul 2, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bainbridge, GA. The record was last updated on Jul 2, 2015.