VALDOSTA INTERNAL MEDICINE
NPI 1376207985
Clinic/Center - Federally Qualified Health Center (FQHC) in Valdosta, GA

Active since October 29, 2021
3308 GREYSTONE WAY, VALDOSTA, GA 31605(229) 468-9166(229) 468-9188 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valdosta Internal Medicine NPPES

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

VALDOSTA INTERNAL MEDICINE (NPI 1376207985) is a healthcare organization registered as a federally qualified health center (fqhc) in Valdosta, Georgia and active in the NPI registry since October 2021. The organization lists Robert Bonds Tucker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376207985
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTH CENTRAL PRIMARY CARE CENTER, INC
Location Address3308 GREYSTONE WAYValdosta, GA 31605-1096
Mailing AddressPo Box 749Ocilla, GA 31774-0749 · (229) 468-9166 · Fax (229) 468-9188
Fax(229) 468-9188
Organization SubpartNo
Authorized OfficialRobert Bonds TuckerCeo · (229) 468-9166
Enumeration DateOctober 29, 2021
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
NPI 1376207985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3308 GREYSTONE WAY, Valdosta, GA 31605

Other Names 1

Doing Business AsValdosta Internal Medicine

Accepted Insurance

Other Providers at the Same Location NPPES

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

Specialist
3308 GREYSTONE WAY
VALDOSTA, GA 31605

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 South Central Primary Care Center, Inc's NPI number?

The NPI number for South Central Primary Care Center, Inc is 1376207985. It was assigned to this organization in the NPPES registry on October 29, 2021. The provider is doing business as Valdosta Internal Medicine.

Where is South Central Primary Care Center, Inc located?

South Central Primary Care Center, Inc is located at 3308 Greystone Way, Valdosta, GA 31605. The listed phone number is (229) 468-9166.

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.

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 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.