SOUTHERN PRIMARY CARE, LLC
NPI 1245111814
Clinical Medical Laboratory in West Palm Beach, FL

Active since September 10, 2025CLIA Certified · 2 labs
1499 FOREST HILL BLVD STE 112, WEST PALM BEACH, FL 33406(407) 761-8640 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Primary Care, Llc NPPES

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

SOUTHERN PRIMARY CARE, LLC (NPI 1245111814), doing business as Amga Hc Lab, is a healthcare organization registered as a clinical medical laboratory in West Palm Beach, Florida and active in the NPI registry since September 2025. The organization holds 2 active CLIA laboratory certificates and lists Jayesh Patel, Md, as its authorized official.

NPPES Registry Identity

NPI1245111814
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSOUTHERN PRIMARY CARE, LLC
Location Address1499 FOREST HILL BLVD STE 112West Palm Beach, FL 33406-6050
Mailing Address197 Bass RdMacon, GA 31210-2060
Organization SubpartNo
Authorized OfficialJayesh PatelMd · (478) 477-0966
Enumeration DateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
NPI 1245111814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1499 FOREST HILL BLVD STE 112, West Palm Beach, FL 33406

Other Names 1

Doing Business AsAmga Hc Lab

CLIA Laboratory Certificates CMS CLIA 2

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 11D2135912

Southern Primary Care, LLC · Macon, GA
Active · expires Aug 29, 2027
CLIA Number11D2135912
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorJayesh Patel
Laboratory Phone(478) 477-0966
Laboratory LocationSouthern Primary Care, LLC197 Bass Road, Macon, GA 31210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 11D2171780

Southern Primary Care · Warner Robins, GA
Active · expires Feb 28, 2027
CLIA Number11D2171780
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorJayesh Patel
Laboratory Phone(478) 477-0966
Laboratory LocationSouthern Primary Care101 Willie Lee Parkway, Suite 400, Warner Robins, GA 31088
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
1499 FOREST HILL BLVD STE 112
WEST PALM BCH, FL 33406

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 Southern Primary Care, LLC's NPI number?

The NPI number for Southern Primary Care, LLC is 1245111814. It was assigned to this organization in the NPPES registry on September 10, 2025. The provider is doing business as Amga Hc Lab.

Where is Southern Primary Care, LLC located?

Southern Primary Care, LLC is located at 1499 Forest Hill Blvd Ste 112, West Palm Beach, FL 33406. The listed phone number is (407) 761-8640.

What is Southern Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Southern Primary Care, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southern Primary Care, LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.