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

Q: 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.

Q: What is Prime Care Of Georgia LLC's specialty?

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

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: October 25, 2026.

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

On this page

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..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)

Prime Care Of Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Care Of Georgia LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shital Patel, M.D.

Internal Medicine

NPI 1639498181

1000 TOWNE CENTER BLVD STE 604
Pooler, GA 31322

(912) 561-7001

✔ PECOS✔ Accepts MedicareSame address

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 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.

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.

Is Prime Care Of Georgia LLC enrolled in Medicare?

Yes. Prime Care Of Georgia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Care Of Georgia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prime Care Of Georgia LLC. 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 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. 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.