1. Home
  2. Directory
  3. Georgia
  4. Rome
  5. Clinic Center
  6. NPI Profile

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

Active since February 17, 2022CLIA Certified · 2 labs
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: August 09, 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 2 active CLIA laboratory certificates 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
Phone(706) 756-6133
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D0673616

Primary Health Care Center Of Dade, Inc · Trenton, GA
Active · expires 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.

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITNEY GATES MSW
Counselor (Mental Health)
1400 CRANE ST SW
ROME, GA 30161
Floyd County (470) 532-3705
BRIAN DAVID SAMPLES M.DIV.
Counselor
1400 CRANE ST SW
ROME, GA 30161
Floyd County (706) 331-6177
OLIVIA WEAVER
Occupational Therapist
1400 CRANE ST SW
ROME, GA 30161
Floyd County (706) 528-4033

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.

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

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.