GEORGIA PRIMARY CARE LLC
NPI 1548025596
Clinic/Center - Primary Care in Macon, GA

Active since February 19, 2024
866 ORANGE TER, MACON, GA 31201(478) 246-1114(478) 202-2488 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2026, May 5, 2026, May 19, 2024 (3 updates tracked since 2024).

About Georgia Primary Care Llc NPPES

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

GEORGIA PRIMARY CARE LLC (NPI 1548025596), doing business as Primary Clinic, is a healthcare organization registered as a primary care in Macon, Georgia and active in the NPI registry since February 2024. The organization lists Larry A Montgomery, Owner, as its authorized official.

NPPES Registry Identity

NPI1548025596
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGEORGIA PRIMARY CARE LLC
Location Address866 ORANGE TERMacon, GA 31201-2151
Mailing Address866 Orange TerMacon, GA 31201-2151
Fax(478) 202-2488
Organization SubpartNo
Authorized OfficialLarry A MontgomeryOwner · (918) 340-6477
Enumeration DateFebruary 19, 2024
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1548025596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
866 ORANGE TER, Macon, GA 31201

Other Names 2

Doing Business AsPrimary Clinic
Doing Business AsPrimary Clinic Senior Care

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Georgia Primary Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1760092340
673 PINE ST
Macon, GA 31201
(478) 743-9123
✔ PECOS✔ Accepts Medicare0.3 mi

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 Georgia Primary Care LLC's NPI number?

The NPI number for Georgia Primary Care LLC is 1548025596. It was assigned to this organization in the NPPES registry on February 19, 2024. The provider is doing business as Primary Clinic and Primary Clinic Senior Care.

Where is Georgia Primary Care LLC located?

Georgia Primary Care LLC is located at 866 Orange Ter, Macon, GA 31201. The listed phone number is (478) 246-1114.

What is Georgia Primary Care LLC's specialty?

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

Is Georgia Primary Care LLC enrolled in Medicare?

Yes. Georgia Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Georgia Primary Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Georgia Primary Care LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.