PRIMARY HEALTH CARE CENTER OF DADE, INC.
NPI 1043965056
Clinic/Center - Federally Qualified Health Center (FQHC) in Rome, GA

Active since February 17, 2022CLIA 11D2308120 · Waiver
1400 CRANE ST SW, ROME, GA 30161(706) 756-6133(706) 657-2958 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Primary Health Care Center Of Dade, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY HEALTH CARE CENTER OF DADE, INC. (NPI 1043965056) is a healthcare organization registered as a federally qualified health center (fqhc) in Rome, Georgia and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Amy Buffington, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1043965056
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePRIMARY HEALTH CARE CENTER OF DADE, INC.
Location Address1400 CRANE ST SWRome, GA 30161-6333
Mailing Address13570 N Main StTrenton, GA 30752-2012 · (706) 956-2665 · Fax (706) 657-2958
Fax(706) 657-2958
Organization SubpartNo
Authorized OfficialAmy BuffingtonCredentialing Director · (706) 620-4494
Enumeration DateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1043965056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1400 CRANE ST SW, Rome, GA 30161

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primary Health Care Center Of Dade, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Primary Health Care Center Of Dade, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 7

Family Practice2
Internal Medicine2
Pediatric Medicine2
Clinical Psychologist1
Clinical Social Worker1
Mental Health Counselor1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (10)

Clinical Social Worker
NPI 1447600044
6120 ALABAMA HWY
Ringgold, GA 30736
(706) 935-6442
✔ PECOS46 mi
Pediatric Medicine
NPI 1942302070
13570 N MAIN ST
Trenton, GA 30752
(706) 956-2665
✔ PECOS49 mi
Registered Dietitian or Nutrition Professional
NPI 1407210107
13570 N MAIN ST
Trenton, GA 30752
(706) 956-2665
✔ Accepts Medicare49 mi
Family Practice
NPI 1114451051
13570 N MAIN ST
Trenton, GA 30752
(706) 956-2665
✔ PECOS✔ Accepts Medicare49 mi
Mental Health Counselor
NPI 1518593151
13570 N MAIN ST
Trenton, GA 30752
(706) 956-2665
✔ PECOS49 mi
Internal Medicine
NPI 1144292798
2009 OLD LAFAYETTE RD
Fort Oglethorpe, GA 30742
(706) 866-5520
✔ PECOS✔ Accepts Medicare50 mi
Pediatric Medicine
NPI 1568886927
2009 OLD LAFAYETTE RD
Fort Oglethorpe, GA 30742
(706) 866-5520
✔ PECOS50 mi
Family Practice
NPI 1366480014
403 MCBRIEN RD
East Ridge, TN 37412
(423) 875-0700
✔ PECOS53 mi
Internal Medicine
NPI 1639391956
9309 APISON PIKE
Ooltewah, TN 37363
(423) 551-3562
✔ PECOS✔ Accepts Medicare57 mi
Clinical Psychologist
NPI 1275784621
103 HAZEL PATH STE 2
Hendersonville, TN 37075
(615) 320-1155
✔ PECOS✔ Accepts Medicare164 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2308120

Primary Healthcare · Ringgold, GA
Active · expires Jul 22, 2028
CLIA Number11D2308120
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorJazzmine Basham
Laboratory Phone(706) 620-4494
Laboratory LocationPrimary Healthcare182 Catoosa Circle, Ringgold, GA 30736
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0673616

Primary Health Care Center Of Dade, Inc · Trenton, GA
Expired · Oct 31, 2026
CLIA Number11D0673616
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorJazzmine Basham
Laboratory Phone(706) 620-4494
Laboratory LocationPrimary Health Care Center Of Dade, Inc13570 North Main Street, Trenton, GA 30752
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Health Care Center Of Dade, Inc.'s NPI number?

The NPI number for Primary Health Care Center Of Dade, Inc. is 1043965056. It was assigned to this organization in the NPPES registry on February 17, 2022.

Where is Primary Health Care Center Of Dade, Inc. located?

Primary Health Care Center Of Dade, Inc. is located at 1400 Crane St SW, Rome, GA 30161. The listed phone number is (706) 756-6133.

What is Primary Health Care Center Of Dade, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Primary Health Care Center Of Dade, Inc. enrolled in Medicare?

Yes. Primary Health Care Center Of Dade, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Health Care Center Of Dade, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians reassign their Medicare billing to Primary Health Care Center Of Dade, Inc., in Clinical Psychologist, Clinical Social Worker, Family Practice, Internal Medicine, Mental Health Counselor and 2 other specialties. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Health Care Center Of Dade, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2308120) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Health Care Center Of Dade, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Primary Health Care Center Of Dade, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Primary Health Care Center Of Dade, Inc. was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.