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SOUTHWEST GA PRIMARY CARE, LLC
NPI 1629400312
Clinic/Center - Primary Care in Ellaville, GA

Active since August 05, 2013
93 S BROAD ST, ELLAVILLE, GA 31806(229) 410-9965(229) 937-9007 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southwest Ga Primary Care, Llc NPPES

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

SOUTHWEST GA PRIMARY CARE, LLC (NPI 1629400312) is a healthcare organization registered as a primary care in Ellaville, Georgia and active in the NPI registry since August 2013. The organization lists Linda P Hamsley, Owner, as its authorized official.

NPPES Registry Identity

NPI1629400312
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHWEST GA PRIMARY CARE, LLC
Location Address93 S BROAD STEllaville, GA 31806-0989
Mailing AddressPo Box 989Ellaville, GA 31806-0989 · (229) 410-9965 · Fax (229) 937-9007
Phone(229) 410-9965
Fax(229) 937-9007
Organization SubpartNo
Authorized OfficialLinda P HamsleyOwner · (229) 410-9965
Enumeration DateAugust 5, 2013
Last NPPES UpdateJune 5, 2014
✔ NPI 1629400312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 33367
93 S BROAD ST, Ellaville, GA 31806
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Other Identifiers 2

Medicare PIN08BBRMJGA
Medicaid000506437GGA

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 Southwest Ga Primary Care, LLC's NPI number?

The NPI number for Southwest Ga Primary Care, LLC is 1629400312. It was assigned to this organization in the NPPES registry on August 5, 2013.

Where is Southwest Ga Primary Care, LLC located?

Southwest Ga Primary Care, LLC is located at 93 S Broad St, Ellaville, GA 31806. The listed phone number is (229) 410-9965.

What is Southwest Ga Primary Care, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southwest Ga Primary Care, LLC was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.