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SOUTH CENTRAL PRIMARY CARE CENTER, INC
NPI 1114755931
Pharmacy in Valdosta, GA

Active since July 23, 2024
2301 N ASHLEY ST, VALDOSTA, GA 31602(229) 270-2403 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, Jul 24, 2024 (2 updates tracked since 2024).

About South Central Primary Care Center, Inc NPPES

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

SOUTH CENTRAL PRIMARY CARE CENTER, INC (NPI 1114755931) is a healthcare organization registered as a pharmacy in Valdosta, Georgia and active in the NPI registry since July 2024. The organization lists Robert Bonds Tucker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114755931
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTH CENTRAL PRIMARY CARE CENTER, INC
Location Address2301 N ASHLEY STValdosta, GA 31602-2620
Mailing AddressPo Box 749Ocilla, GA 31774-0749 · (229) 468-9166 · Fax (229) 468-9188
Phone(229) 270-2403
Organization SubpartNo
Authorized OfficialRobert Bonds TuckerCeo · (229) 468-9166
Enumeration DateJuly 23, 2024
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1114755931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
2301 N ASHLEY ST, Valdosta, GA 31602
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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 from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

MARLON CHARLES NP
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 270-2403
SARA MELISSA LOVETTE NP-C
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 270-2403
MR. DAVID RAY JACKSON NP
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 270-2403
MICHELLE M BREWER-EWING
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 245-1000
DR. GUILLERMO R SAURINA
Internal Medicine (Infectious Disease)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 245-0666
SERENIA CARNEGIE
Nurse Practitioner (Adult Health)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 245-1000
SOUTH GEORGIA CARDIOLOGY
Specialist
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 245-1000
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 468-9166

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 South Central Primary Care Center, Inc's NPI number?

The NPI number for South Central Primary Care Center, Inc is 1114755931. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is South Central Primary Care Center, Inc located?

South Central Primary Care Center, Inc is located at 2301 N Ashley St, Valdosta, GA 31602. The listed phone number is (229) 270-2403.

What is South Central Primary Care Center, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does South Central Primary Care Center, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 37 other insurers list South Central Primary Care Center, 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 South Central Primary Care Center, Inc was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.