PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
NPI 1366641318
Clinic/Center - Federally Qualified Health Center (FQHC) in Thomasville, GA

Active since July 11, 2007CLIA Certified · 2 labs
454 SMITH AVE, THOMASVILLE, GA 31792(229) 227-5510(229) 227-5527 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Primary Care Of Southwest Georgia, Inc. NPPES

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

PRIMARY CARE OF SOUTHWEST GEORGIA, INC. (NPI 1366641318) is a healthcare organization registered as a federally qualified health center (fqhc) in Thomasville, Georgia and active in the NPI registry since July 2007. The organization holds 2 active CLIA laboratory certificates and lists Angela Mcvey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366641318
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Location Address454 SMITH AVEThomasville, GA 31792-5535
Mailing AddressPo Box 1479Thomasville, GA 31799-1479 · (229) 227-5510 · Fax (229) 227-5527
Fax(229) 227-5527
Organization SubpartNo
Authorized OfficialAngela McveyCeo · (229) 723-2660
Enumeration DateJuly 11, 2007
Last NPPES UpdateMarch 3, 2022
NPPES CertifiedMarch 3, 2022
NPI 1366641318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
454 SMITH AVE, Thomasville, GA 31792

Other Identifiers 1

Medicaid024893266CGA

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

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0915494

Primary Care Of Southwest Ga Inc Thomasville · Thomasville, GA
Active · expires May 29, 2028
CLIA Number11D0915494
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorMurali Yelugapuri
Laboratory Phone(229) 237-5510
Laboratory LocationPrimary Care Of Southwest Ga Inc Thomasville454 Smith Avenue, Thomasville, GA 31792
CLIA data matches this NPI record on: Address
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D1049998

Primary Care Of Southwest Georgia Inco · Blakely, GA
Active · expires Jan 22, 2028
CLIA Number11D1049998
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorMurali Yelugapuri
Laboratory Phone(229) 723-2660
Laboratory LocationPrimary Care Of Southwest Georgia Inco360 College Street, Blakely, GA 39823
CLIA data matches this NPI record on: Name Phone
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 10

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

Physician Assistant
454 SMITH AVE
THOMASVILLE, GA 31792
General Practice
454 SMITH AVE
THOMASVILLE, GA 31792
Family Medicine
454 SMITH AVE
THOMASVILLE, GA 31792
Family Medicine
454 SMITH AVE
THOMASVILLE, GA 31792
Nurse Practitioner (Family)
454 SMITH AVE
THOMASVILLE, GA 31792
Social Worker (Clinical)
454 SMITH AVE
THOMASVILLE, GA 31792
Pharmacist
454 SMITH AVE
THOMASVILLE, GA 31792
Pharmacy (Community/Retail Pharmacy)
454 SMITH AVE
THOMASVILLE, GA 31792

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366641318, enumerated as an "organization" on July 11, 2007.

The provider is located at 454 SMITH AVE THOMASVILLE, GA 31792 and the phone number is (229) 227-5510.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.