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OCONEE PRIMARY CARE, L.L.C.
NPI 1275860900
Internal Medicine in Watkinsville, GA

Active since November 18, 2009CLIA 11D2003499 · Microscopy
1624 MARS HILL RD, SUITE B, WATKINSVILLE, GA 30677(404) 759-6436(706) 769-2750 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oconee Primary Care, L.l.c. NPPES

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

OCONEE PRIMARY CARE, L.L.C. (NPI 1275860900) is a healthcare organization registered as an internal medicine in Watkinsville, Georgia and active in the NPI registry since November 2009. The organization holds a CLIA Microscopy certificate valid through February 10, 2028 and lists Ken H Park, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1275860900
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOCONEE PRIMARY CARE, L.L.C.
Location Address1624 MARS HILL RD, SUITE BWatkinsville, GA 30677-4813
Mailing Address1624 Mars Hill Rd, Suite BWatkinsville, GA 30677-4813 · (404) 759-6436 · Fax (706) 769-2750
Phone(404) 759-6436
Fax(706) 769-2750
Organization SubpartNo
Authorized OfficialKen H ParkOwner/provider · (404) 759-6436
Enumeration DateNovember 18, 2009
✔ NPI 1275860900 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 · 050049
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.
1624 MARS HILL RD, Watkinsville, GA 30677
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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 for Provider-Performed Microscopy Procedures (PPMP) 11D2003499

Oconee Primary Care, LLC · Watkinsville, GA
Active · expires Feb 10, 2028
CLIA Number11D2003499
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorKen Park
Laboratory Phone(706) 310-1030
Laboratory LocationOconee Primary Care, LLC1624 Mars Hill Road, Suite B, Watkinsville, GA 30677
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

RUTH QUICKE BROWN MSN, FNP-BC
Nurse Practitioner
1624 MARS HILL RD, SUITE B
WATKINSVILLE, GA 30677
Oconee County (706) 310-1030
TAYLOR SMITH KING
Nurse Practitioner (Family)
1624 MARS HILL RD
WATKINSVILLE, GA 30677
Oconee County (706) 310-1030
MARY M. KIM M.D.
Internal Medicine
1624 MARS HILL RD, SUITE B
WATKINSVILLE, GA 30677
Oconee County (706) 310-1030

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 Oconee Primary Care, L.L.C.'s NPI number?

The NPI number for Oconee Primary Care, L.L.C. is 1275860900. It was assigned to this organization in the NPPES registry on November 18, 2009.

Where is Oconee Primary Care, L.L.C. located?

Oconee Primary Care, L.L.C. is located at 1624 Mars Hill Rd Suite B, Watkinsville, GA 30677. The listed phone number is (404) 759-6436.

What is Oconee Primary Care, L.L.C.'s specialty?

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

Does Oconee Primary Care, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2003499) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oconee Primary Care, L.L.C. was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.