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PHOEBE PRIMARY CARE OF CAMILLA
NPI 1114450665
Clinic/Center - Primary Care in Camilla, GA

Active since April 11, 2017CLIA 11D0266040 · Waiver
48 US HIGHWAY 19 S, CAMILLA, GA 31730(229) 336-5208(229) 336-8260 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoebe Primary Care Of Camilla NPPES

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

PHOEBE PRIMARY CARE OF CAMILLA (NPI 1114450665) is a healthcare organization registered as a primary care in Camilla, Georgia and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Robin Brown, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114450665
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePHOEBE PRIMARY CARE OF CAMILLA
Location Address48 US HIGHWAY 19 SCamilla, GA 31730-1960
Mailing Address500 W 3rd Ave Ste 101Albany, GA 31701-1900 · (229) 312-5802 · Fax (229) 312-5885
Phone(229) 336-5208
Fax(229) 336-8260
Organization SubpartNo
Authorized OfficialRobin BrownCfo · (229) 565-9403
Enumeration DateApril 11, 2017
✔ NPI 1114450665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
48 US HIGHWAY 19 S, Camilla, GA 31730
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CLIA Laboratory Certificates CMS CLIA

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 11D0266040

Phoebe Primary Care Of Carmilla · Camilla, GA
Active · expires Aug 31, 2027
CLIA Number11D0266040
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDr. David Drury
Laboratory Phone(229) 336-5208
Laboratory LocationPhoebe Primary Care Of Carmilla725 Us Highway 19 South, Camilla, GA 31730
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

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

PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.
Clinic/Center (Rural Health)
48 US HIGHWAY 19 S
CAMILLA, GA 31730
Mitchell County (229) 336-5208

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 Phoebe Primary Care Of Camilla's NPI number?

The NPI number for Phoebe Primary Care Of Camilla is 1114450665. It was assigned to this organization in the NPPES registry on April 11, 2017.

Where is Phoebe Primary Care Of Camilla located?

Phoebe Primary Care Of Camilla is located at 48 Us Highway 19 S, Camilla, GA 31730. The listed phone number is (229) 336-5208.

What is Phoebe Primary Care Of Camilla's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Phoebe Primary Care Of Camilla hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0266040) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoebe Primary Care Of Camilla was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.