VALDOSTA CHILDREN'S HEALTHCARE
NPI 1174394423
Clinic/Center - Federally Qualified Health Center (FQHC) in Valdosta, GA
About Valdosta Children's Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALDOSTA CHILDREN'S HEALTHCARE (NPI 1174394423) is a healthcare organization registered as a federally qualified health center (fqhc) in Valdosta, Georgia and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Robert Bonds Tucker, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 of Waiver 11D2302887
Valdosta Children's Healthcare · Valdosta, GAOther Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VALDOSTA, GA 31602
VALDOSTA, GA 31602
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 1174394423. It was assigned to this organization in the NPPES registry on January 15, 2024. The provider is doing business as Valdosta Children's Healthcare.
Where is South Central Primary Care Center, Inc located?
South Central Primary Care Center, Inc is located at 105 W Cranford Ave, Valdosta, GA 31602. The listed phone number is (229) 468-9166.
What is South Central Primary Care Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does South Central Primary Care Center, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2302887) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Central Primary Care Center, Inc accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
