PRIMARY CARE - SOUTH LIMITED
NPI 1366928087
Clinic/Center - Primary Care in Jackson, TN
About Primary Care - South Limited NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE - SOUTH LIMITED (NPI 1366928087), doing business as Primary Care South Llc, is a healthcare organization registered as a primary care in Jackson, Tennessee and active in the NPI registry since July 2018. The organization lists Malcom Matthew Ingram, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Care - South Limited is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Primary Care - South Limited, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Primary Care - South Limited's NPI number?
The NPI number for Primary Care - South Limited is 1366928087. It was assigned to this organization in the NPPES registry on July 16, 2018. The provider was formerly known as Primary Care South LLC.
Where is Primary Care - South Limited located?
Primary Care - South Limited is located at 1385 South Highland Ave Suite B-1, Jackson, TN 38301. The listed phone number is (731) 427-0470.
What is Primary Care - South Limited's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Primary Care - South Limited enrolled in Medicare?
Yes. Primary Care - South Limited is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care - South Limited?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Primary Care - South Limited. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Primary Care - South Limited accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Primary Care - South Limited 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 Primary Care - South Limited was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Primary Care - South Limited · NPI 1366928087
Primary Care organization in Jackson, Tennessee. Organization record, active in the CMS NPPES registry since July 16, 2018.
## Identity
- **NPI:** 1366928087 (Entity type: Organization)
- **Enumerated:** July 16, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Malcom Ingram, OWNER
## Practice location
- **Address:** 1385 SOUTH HIGHLAND AVE, SUITE B-1, Jackson, TN 38301
- **Phone:** (731) 427-0470 · **Fax:** (731) 427-0995
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366928087) · Data from the CMS NPPES public registry.