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PRIME CARE OF GEORGIA LLC
NPI 1114591096
Internal Medicine in Pooler, GA

Active since May 17, 2021CLIA Certified · 2 labs
1000 TOWNE CENTER BLVD STE 604, POOLER, GA 31322(912) 561-7001(912) 561-7002 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2022, May 17, 2021 (2 updates tracked since 2021).

About Prime Care Of Georgia Llc NPPES

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

PRIME CARE OF GEORGIA LLC (NPI 1114591096) is a healthcare organization registered as an internal medicine in Pooler, Georgia and active in the NPI registry since May 2021. The organization holds 2 active CLIA laboratory certificates and lists Shital G Patel, Provider, as its authorized official.

NPPES Registry Identity

NPI1114591096
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIME CARE OF GEORGIA LLC
Location Address1000 TOWNE CENTER BLVD STE 604Pooler, GA 31322-4070
Mailing Address1000 Towne Center Blvd Ste 604Pooler, GA 31322-4070 · (912) 561-7001 · Fax (912) 561-7002
Phone(912) 561-7001
Fax(912) 561-7002
Organization SubpartNo
Authorized OfficialShital G PatelProvider · (912) 561-7001
Enumeration DateMay 17, 2021
Last NPPES UpdateJune 13, 20222 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
✔ NPI 1114591096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1000 TOWNE CENTER BLVD STE 604, Pooler, GA 31322
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 11D2256036

Prime Care Of Georgia, LLC · Pooler, GA
Active · expires Mar 20, 2028
CLIA Number11D2256036
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorShital Patel
Laboratory Phone(912) 561-7001
Laboratory LocationPrime Care Of Georgia, LLC1000 Towne Center Boulevard, Suite 604, Pooler, GA 31322
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 11D2279818

Prime Care Of Georgia II, LLC · Pooler, GA
Active · expires Apr 9, 2027
CLIA Number11D2279818
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorNeha Kharod
Laboratory Phone(912) 561-7001
Laboratory LocationPrime Care Of Georgia II, LLC1000 Towne Center Blvd, Ste 604 B, Pooler, GA 31322
CLIA data matches this NPI record on: Address Name 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.

SHITAL PATEL M.D.
Internal Medicine
1000 TOWNE CENTER BLVD STE 604
POOLER, GA 31322
Chatham County (912) 561-7001
DR. NEHA PRABHAKAR KHAROD MD
Internal Medicine (Allergy & Immunology)
1000 TOWNE CENTER BLVD STE 604
POOLER, GA 31322
Chatham County (912) 561-7001
PRIME CARE OF GEORGIA II LLC
Internal Medicine (Allergy & Immunology)
1000 TOWNE CENTER BLVD STE 604
POOLER, GA 31322
Chatham County (912) 561-7001

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 Prime Care Of Georgia LLC's NPI number?

The NPI number for Prime Care Of Georgia LLC is 1114591096. It was assigned to this organization in the NPPES registry on May 17, 2021.

Where is Prime Care Of Georgia LLC located?

Prime Care Of Georgia LLC is located at 1000 Towne Center Blvd Ste 604, Pooler, GA 31322. The listed phone number is (912) 561-7001.

What is Prime Care Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Prime Care Of Georgia LLC 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 Prime Care Of Georgia LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Prime Care Of Georgia LLC 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 Prime Care Of Georgia LLC was last updated on June 13, 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.