CENTER FOR PRIMARY CARE PC
NPI 1316973472
Family Medicine in Evans, GA

NPI Status: Active since June 23, 2006

Contact Information

363 N BELAIR RD
EVANS, GA
ZIP 30809
Phone: (706) 650-7563
Fax: (706) 650-9540

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  • Organization
  • Family Medicine
  • CLIA Number: 11D0879221
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-09-2026

About CENTER FOR PRIMARY CARE PC

This page provides the complete NPI Profile along with additional information for Center For Primary Care Pc, a primary care provider established in Evans, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1316973472 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Robert M Clark D.o. (Ceo)

NPI
1316973472
Provider Name
CENTER FOR PRIMARY CARE PC
Entity Type
Organization
Location Address
363 N BELAIR RD EVANS, GA 30809
Location Phone
(706) 650-7563
Location Fax
(706) 650-9540
Mailing Address
PO BOX 2510 EVANS, GA 30809
Mailing Phone
(706) 650-7799
Mailing Fax
(706) 650-9540
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2006
Last Update Date
01-13-2025
Code Navigator

A primary care provider (PCP) like Center For Primary Care Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1291U00000XLaboratories

Clinical Medical Laboratory

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT M CLARK D.O.

Authorized Official Title
CEO
Authorized Official Phone
(706) 650-7563

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0879221
Facility Type
Physician Office
Certificate Effective Date
December 10, 2024
Certificate Expiration Date
December 09, 2026
Laboratory Director
DR. SHIREEN MOORE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Center For Primary Care Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316973472, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 8 + 7 + 6 + 4 + 1 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1316973472.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
363 N BELAIR RD
EVANS, GA 30809
Family Medicine
363 N BELAIR RD
EVANS, GA 30809
Family Medicine
363 N BELAIR RD
EVANS, GA 30809
Family Medicine
363 N BELAIR RD
EVANS, GA 30809

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316973472, enumerated as an "organization" on June 23, 2006.

The provider is located at 363 N BELAIR RD EVANS, GA 30809 and the phone number is (706) 650-7563.

Family Medicine with taxonomy code 207Q00000X.