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PRIMECARE MEDICAL CENTER
NPI 1164940672
Clinic/Center - Primary Care in Riverdale, GA

Active since September 05, 2017
86 UPPER RIVERDALE RD SW STE 201, RIVERDALE, GA 30274(770) 907-4219 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primecare Medical Center NPPES

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

PRIMECARE MEDICAL CENTER (NPI 1164940672) is a healthcare organization registered as a primary care in Riverdale, Georgia and active in the NPI registry since September 2017. The organization lists Bridgette Hannigan, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1164940672
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRIMECARE MEDICAL CENTER
Location Address86 UPPER RIVERDALE RD SW STE 201Riverdale, GA 30274-2614
Mailing Address86 Upper Riverdale Rd Sw Ste 201Riverdale, GA 30274-2614 · (770) 907-4219
Phone(770) 907-4219
Organization SubpartNo
Authorized OfficialBridgette HanniganChief Executive Officer · (678) 755-5334
Enumeration DateSeptember 5, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1164940672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
86 UPPER RIVERDALE RD SW STE 201, Riverdale, GA 30274
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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 Primecare Medical Center's NPI number?

The NPI number for Primecare Medical Center is 1164940672. It was assigned to this organization in the NPPES registry on September 5, 2017.

Where is Primecare Medical Center located?

Primecare Medical Center is located at 86 Upper Riverdale Rd SW Ste 201, Riverdale, GA 30274. The listed phone number is (770) 907-4219.

What is Primecare Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Primecare Medical Center was last updated on July 21, 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.