KIDS HEALTH FITZGERALD
NPI 1295094340
Clinic/Center - Federally Qualified Health Center (FQHC) in Fitzgerald, GA
About Kids Health Fitzgerald NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDS HEALTH FITZGERALD (NPI 1295094340) is a healthcare organization registered as a federally qualified health center (fqhc) in Fitzgerald, Georgia and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Robert Bonds Tucker, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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 11D2232367
Kids Health Of Fitzgerald · Fitzgerald, GAFrequently 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 1295094340. It was assigned to this organization in the NPPES registry on May 10, 2012. The provider is doing business as Kids Health Fitzgerald.
Where is South Central Primary Care Center, Inc located?
South Central Primary Care Center, Inc is located at 299 W Benjamin Hill Dr Suite A, Fitzgerald, GA 31750. The listed phone number is (229) 423-5437.
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 11D2232367) is associated with this NPI, valid through August 11, 2027. 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 and 1 other insurer 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.
# Kids Health Fitzgerald · NPI 1295094340
Federally Qualified Health Center (FQHC) organization in Fitzgerald, Georgia. Organization record, active in the CMS NPPES registry since May 10, 2012.
## Identity
- **NPI:** 1295094340 (Entity type: Organization)
- **Enumerated:** May 10, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** South Central Primary Care Center, Inc
- **Organization subpart:** No
- **Authorized official:** Robert Tucker, CEO
## Practice location
- **Address:** 299 W BENJAMIN HILL DR, SUITE A, Fitzgerald, GA 31750
- **Phone:** (229) 423-5437
## Record status
- **NPPES last updated:** November 26, 2024
- **Other identifiers:** Medicaid 0003124446A (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295094340) · Data from the CMS NPPES public registry.