SUCCOR PRIMARY CARE, P.C
NPI 1295311207
Nurse Practitioner - Primary Care in Waltham, MA
About Succor Primary Care, P.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUCCOR PRIMARY CARE, P.C (NPI 1295311207) is a healthcare organization registered as a primary care in Waltham, Massachusetts and active in the NPI registry since March 2021. The organization lists Lelia Janice Magoba, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Succor Primary Care, P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Succor Primary Care, P.C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Succor Primary Care Inc's NPI number?
The NPI number for Succor Primary Care Inc is 1295311207. It was assigned to this organization in the NPPES registry on March 20, 2021. The provider is also known as Succor Primary Care, P.C.
Where is Succor Primary Care Inc located?
Succor Primary Care Inc is located at 24 Crescent St Ste 407, Waltham, MA 02453. The listed phone number is (781) 358-8633.
What is Succor Primary Care Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Succor Primary Care Inc enrolled in Medicare?
Yes. Succor Primary Care Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Succor Primary Care Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Succor Primary Care Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Succor Primary Care Inc was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Succor Primary Care, P.c · NPI 1295311207
Primary Care organization in Waltham, Massachusetts. Organization record, active in the CMS NPPES registry since March 20, 2021.
## Identity
- **NPI:** 1295311207 (Entity type: Organization)
- **Enumerated:** March 20, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Legal business name:** Succor Primary Care Inc
- **Organization subpart:** No
- **Authorized official:** Lelia Magoba, PRESIDENT
## Practice location
- **Address:** 24 CRESCENT ST STE 407, Waltham, MA 02453-4309
- **Phone:** (781) 358-8633 · **Fax:** (781) 205-7602
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295311207) · Data from the CMS NPPES public registry.