DMC PRIMARY CARE
NPI 1619541018
Clinic/Center - Rural Health in Fitzgerald, GA
About Dmc Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DMC PRIMARY CARE (NPI 1619541018) is a healthcare organization registered as a rural health in Fitzgerald, Georgia and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through December 13, 2026, maintains a secondary practice location in Fitzgerald, and lists Paige Wynn, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Group Practice 1
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 11D2159234
Dmc Primary Care · Fitzgerald, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dmc Physician Group LLC's NPI number?
The NPI number for Dmc Physician Group LLC is 1619541018. It was assigned to this organization in the NPPES registry on May 19, 2021. The provider is doing business as Dmc Primary Care.
Where is Dmc Physician Group LLC located?
Dmc Physician Group LLC is located at 246 Benjamin H Hill Dr SW, Fitzgerald, GA 31750. The listed phone number is (229) 409-0874.
What is Dmc Physician Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Dmc Physician Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2159234) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dmc Physician Group LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
