PRINCE AVENUE PRIMARY CARE, L.L.C.
NPI 1386676211
Family Medicine in Athens, GA

Active since July 07, 2006
892 PRINCE AVE, ATHENS, GA 30606(706) 227-2027(706) 227-2433 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prince Avenue Primary Care, L.l.c. NPPES

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

PRINCE AVENUE PRIMARY CARE, L.L.C. (NPI 1386676211) is a healthcare organization registered as a family medicine in Athens, Georgia and active in the NPI registry since July 2006. The organization lists Timothy B Gibson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386676211
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRINCE AVENUE PRIMARY CARE, L.L.C.
Location Address892 PRINCE AVEAthens, GA 30606-2724
Mailing Address892 Prince AveAthens, GA 30606-2724 · (706) 227-2027 · Fax (706) 227-2433
Fax(706) 227-2433
Organization SubpartNo
Authorized OfficialTimothy B GibsonCeo · (706) 227-2027
Enumeration DateJuly 7, 2006
Last NPPES UpdateDecember 28, 2009
NPI 1386676211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 015584
Definition
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.
892 PRINCE AVE, Athens, GA 30606

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP3169GA · Group Number

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

Other Providers at the Same Location NPPES 4

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

Family Medicine
892 PRINCE AVE
ATHENS, GA 30606
Nurse Practitioner (Family)
892 PRINCE AVE, SUITE C
ATHENS, GA 30606
Nurse Practitioner (Family)
892 PRINCE AVE
ATHENS, GA 30606
Specialist/Technologist (Athletic Trainer)
892 PRINCE AVE
ATHENS, GA 30606

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 Prince Avenue Primary Care, L.L.C.'s NPI number?

The NPI number for Prince Avenue Primary Care, L.L.C. is 1386676211. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Prince Avenue Primary Care, L.L.C. located?

Prince Avenue Primary Care, L.L.C. is located at 892 Prince Ave, Athens, GA 30606. The listed phone number is (706) 227-2027.

What is Prince Avenue Primary Care, L.L.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Prince Avenue Primary Care, L.L.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Prince Avenue Primary Care, L.L.C. 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 Prince Avenue Primary Care, L.L.C. was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.