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SOUTH CENTRAL PRIMARY CARE- ASHLEY STREET
NPI 1467223818
Clinic/Center - Federally Qualified Health Center (FQHC) in Valdosta, GA

Active since January 15, 2024
2301 N ASHLEY ST, VALDOSTA, GA 31602(229) 468-9166 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Central Primary Care- Ashley Street NPPES

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

SOUTH CENTRAL PRIMARY CARE- ASHLEY STREET (NPI 1467223818) is a healthcare organization registered as a federally qualified health center (fqhc) in Valdosta, Georgia and active in the NPI registry since January 2024. The organization lists Robert Bonds Tucker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467223818
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTH CENTRAL PRIMARY CARE CENTER, INC
Location Address2301 N ASHLEY STValdosta, GA 31602-2620
Mailing AddressPo Box 749Ocilla, GA 31774-0749 · (229) 468-9166
Phone(229) 468-9166
Organization SubpartNo
Authorized OfficialRobert Bonds TuckerCeo · (229) 468-9166
Enumeration DateJanuary 15, 2024
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1467223818 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
2301 N ASHLEY ST, Valdosta, GA 31602
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Other Names 1

Doing Business AsSouth Central Primary Care- Ashley Street

Other Providers at the Same Location NPPES 9

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

KIMBERLY MARSH FNP-BC
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 270-2403
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Pharmacy
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 270-2403
SARA MELISSA LOVETTE NP-C
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 270-2403
MR. DAVID RAY JACKSON NP
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 270-2403
MICHELLE M BREWER-EWING
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 245-1000
DR. GUILLERMO R SAURINA
Internal Medicine (Infectious Disease)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 245-0666
SERENIA CARNEGIE
Nurse Practitioner (Adult Health)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 245-1000
SOUTH GEORGIA CARDIOLOGY
Specialist
2301 N ASHLEY ST
VALDOSTA, GA 31602
Lowndes County (229) 245-1000

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 1467223818. It was assigned to this organization in the NPPES registry on January 15, 2024. The provider is doing business as South Central Primary Care- Ashley Street.

Where is South Central Primary Care Center, Inc located?

South Central Primary Care Center, Inc is located at 2301 N Ashley St, Valdosta, GA 31602. 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.

When was this NPI record last updated?

The NPPES record for South Central Primary Care Center, Inc was last updated on November 20, 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.