D/B/A GRADY PRIMARY CARE
NPI 1124638614
Family Medicine in Cairo, GA

Active since August 09, 2020CLIA 11D2191876 · Microscopy
235 1ST AVE NE, CAIRO, GA 39828(229) 378-2214(833) 386-7012 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2020, Aug 9, 2020 (2 updates tracked since 2020).

About D/b/a Grady Primary Care NPPES

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

D/B/A GRADY PRIMARY CARE (NPI 1124638614) is a healthcare organization registered as a family medicine in Cairo, Georgia and active in the NPI registry since August 2020. The organization holds a CLIA Microscopy certificate valid through September 1, 2026 and lists Kimberly Ann Harbin, Owner, as its authorized official.

NPPES Registry Identity

NPI1124638614
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePMS 68 LLC
Location Address235 1ST AVE NECairo, GA 39828-2118
Mailing Address235 1st Ave NeCairo, GA 39828-2118 · (229) 378-2214 · Fax (833) 386-7012
Fax(833) 386-7012
Organization SubpartNo
Authorized OfficialKimberly Ann HarbinOwner · (229) 378-2214
Enumeration DateAugust 9, 2020
Last NPPES UpdateSeptember 2, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
NPI 1124638614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
235 1ST AVE NE, Cairo, GA 39828

Other Names 1

Doing Business AsD/b/a Grady Primary Care

Other Identifiers 1

Medicaid0009544125GA

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2191876

Grady Primary Care · Cairo, GA
Active · expires Sep 1, 2026
CLIA Number11D2191876
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorKimberly Ann Harbin
Laboratory Phone(229) 378-2214
Laboratory LocationGrady Primary Care235 1st Avenue, NE, Cairo, GA 39828
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Health Service)
235 1ST AVE NE
CAIRO, GA 39828
Family Medicine
235 1ST AVE NE
CAIRO, GA 39828

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 Pms 68 LLC's NPI number?

The NPI number for Pms 68 LLC is 1124638614. It was assigned to this organization in the NPPES registry on August 9, 2020. The provider is doing business as D/B/A Grady Primary Care.

Where is Pms 68 LLC located?

Pms 68 LLC is located at 235 1st Ave NE, Cairo, GA 39828. The listed phone number is (229) 378-2214.

What is Pms 68 LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pms 68 LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2191876) is associated with this NPI, valid through September 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pms 68 LLC accept?

Health plans from Alliant Health Plans, Inc. list Pms 68 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 Pms 68 LLC was last updated on September 2, 2021. 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.