PRIME CARE & PATHOLOGY INC
NPI 1144977802
Clinic/Center - Primary Care in Conyers, GA
About Prime Care & Pathology Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME CARE & PATHOLOGY INC (NPI 1144977802), doing business as Jackson L Gates, is a healthcare organization registered as a primary care in Conyers, Georgia and active in the NPI registry since March 2022. The organization lists Jackson L Gates, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 & Pathology Inc 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 & Pathology Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 & Pathology Inc's NPI number?
The NPI number for Prime Care & Pathology Inc is 1144977802. It was assigned to this organization in the NPPES registry on March 3, 2022. The provider is doing business as Jackson L Gates.
Where is Prime Care & Pathology Inc located?
Prime Care & Pathology Inc is located at 1050 Green St SE, Conyers, GA 30012. The listed phone number is (770) 648-7226.
What is Prime Care & Pathology Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Prime Care & Pathology Inc enrolled in Medicare?
Yes. Prime Care & Pathology Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Care & Pathology Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Prime Care & Pathology Inc. 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.
When was this NPI record last updated?
The NPPES record for Prime Care & Pathology Inc was last updated on March 3, 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.
# Prime Care & Pathology Inc · NPI 1144977802
Primary Care organization in Conyers, Georgia. Organization record, active in the CMS NPPES registry since March 3, 2022.
## Identity
- **NPI:** 1144977802 (Entity type: Organization)
- **Enumerated:** March 3, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Jackson L Gates (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jackson Gates, OWNER
## Practice location
- **Address:** 1050 GREEN ST SE, Conyers, GA 30012-5406
- **Phone:** (770) 648-7226 · **Fax:** (770) 648-7211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1144977802) · Data from the CMS NPPES public registry.