PICKENS PRIMARY CARE LLC
NPI 1467044529
Clinic/Center - Primary Care in Jasper, GA

Active since February 09, 2021CLIA 11D2232243 · Waiver
744 NOAH DR # 108-109, JASPER, GA 30143(706) 692-0119 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 11, 2021, Feb 9, 2021 (2 updates tracked since 2021).

About Pickens Primary Care Llc NPPES

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

PICKENS PRIMARY CARE LLC (NPI 1467044529) is a healthcare organization registered as a primary care in Jasper, Georgia and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Jesus Vazquez-figueroa, Owner, as its authorized official.

NPPES Registry Identity

NPI1467044529
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePICKENS PRIMARY CARE LLC
Location Address744 NOAH DR # 108-109Jasper, GA 30143-8705
Mailing Address790 Champions Club DrAlpharetta, GA 30004-6955 · (404) 984-8357
Organization SubpartNo
Authorized OfficialJesus Vazquez-figueroaOwner · (706) 692-0119
Enumeration DateFebruary 9, 2021
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
NPI 1467044529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
744 NOAH DR # 108-109, Jasper, GA 30143

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 11D2232243

Pickens Primary Care, LLC · Jasper, GA
Active · expires Aug 10, 2027
CLIA Number11D2232243
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorJesus G. Vazquez-Figueroa
Laboratory Phone(706) 692-0119
Laboratory LocationPickens Primary Care, LLC744 Noah Drive, Suite 108-109, Jasper, GA 30143
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pickens Primary Care LLC's NPI number?

The NPI number for Pickens Primary Care LLC is 1467044529. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Pickens Primary Care LLC located?

Pickens Primary Care LLC is located at 744 Noah Dr # 108-109, Jasper, GA 30143. The listed phone number is (706) 692-0119.

What is Pickens Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pickens Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2232243) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pickens Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Pickens Primary Care LLC 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 Pickens Primary Care LLC was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.