MIDDLE GEORGIA PRIMARY CARE, PC
NPI 1205851003
Internal Medicine in Perry, GA

Q: What is Middle Georgia Primary Care, PC's NPI number?

The NPI number for Middle Georgia Primary Care, PC is 1205851003. It was assigned to this organization in the NPPES registry on July 13, 2006.

Q: What is Middle Georgia Primary Care, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 13, 2006CLIA 11D1001028 · Waiver

1115 MORNINGSIDE DR, PERRY, GA 31069(478) 988-3060(478) 988-3098 Get Directions Write a Review

NPPES record last updated: July 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Middle Georgia Primary Care, Pc NPPES

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

MIDDLE GEORGIA PRIMARY CARE, PC (NPI 1205851003) is a healthcare organization registered as an internal medicine in Perry, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Appavuchetty Soundappan, Physician, as its authorized official.

NPPES Registry Identity

NPI1205851003

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMIDDLE GEORGIA PRIMARY CARE, PC

Location Address1115 MORNINGSIDE DRPerry, GA 31069-2905

Mailing Address1115 Morningside DrPerry, GA 31069-2905 · (478) 988-3060 · Fax (478) 988-3098

Phone(478) 988-3060

Fax(478) 988-3098

Organization SubpartNo

Authorized OfficialAppavuchetty SoundappanPhysician · (478) 988-3060

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 16, 2009

✔ NPI 1205851003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 044107

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1115 MORNINGSIDE DR, Perry, GA 31069

Open in Google Maps ↗

Other Identifiers 1

Medicare PINGRP4345GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 11D1001028

Middle Georgia Primary Care PC · Perry, GA

Active · expires Jun 27, 2028

CLIA Number11D1001028

Laboratory TypePhysician Office

Certificate Effective DateJune 28, 2026

Certificate Expiration DateJune 27, 2028

Laboratory DirectorAppavuchetty Soundappan MD

Laboratory Phone(478) 988-3060

Laboratory LocationMiddle Georgia Primary Care PC1115 Morningside Drive, Perry, GA 31069

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

KIMESHA T POWELL FNP-C

Nurse Practitioner (Family)