COFFEE COUNTY HIGH SCHOOL
NPI 1669085742
Clinic/Center - Federally Qualified Health Center (FQHC) in Douglas, GA

Q: 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.

Active since August 28, 2020

159 TROJAN WAY, DOUGLAS, GA 31533(229) 468-9166(229) 468-9188 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Coffee County High School NPPES

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

COFFEE COUNTY HIGH SCHOOL (NPI 1669085742) is a healthcare organization registered as a federally qualified health center (fqhc) in Douglas, Georgia and active in the NPI registry since August 2020. The organization lists Robert Bonds Tucker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669085742

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTH CENTRAL PRIMARY CARE CENTER, INC

Location Address159 TROJAN WAYDouglas, GA 31533-8263

Mailing AddressPo Box 749Ocilla, GA 31774-0749 · (229) 468-9166 · Fax (229) 468-9188

Phone(229) 468-9166

Fax(229) 468-9188

Organization SubpartNo

Authorized OfficialRobert Bonds TuckerCeo · (229) 468-9166

Enumeration DateAugust 28, 2020

Last NPPES UpdateNovember 26, 2024

NPPES CertifiedNovember 26, 2024

✔ NPI 1669085742 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

159 TROJAN WAY, Douglas, GA 31533

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Other Names 1

Doing Business AsCoffee County High School

Other Providers at the Same Location NPPES

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

BENJAMIN SWAFFORD

Specialist/Technologist (Athletic Trainer)

159 TROJAN WAY
DOUGLAS, GA 31533

Coffee County (912) 393-6633

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 1669085742. It was assigned to this organization in the NPPES registry on August 28, 2020. The provider is doing business as Coffee County High School.

Where is South Central Primary Care Center, Inc located?

South Central Primary Care Center, Inc is located at 159 Trojan Way, Douglas, GA 31533. 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 26, 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.