KEYS FERRY MEDICAL CENTER
NPI 1710058953
Family Medicine in Mcdonough, GA

Q: What is Mcdonough Primary Care Inc's NPI number?

The NPI number for Mcdonough Primary Care Inc is 1710058953. It was assigned to this organization in the NPPES registry on November 10, 2006. The provider is also known as Keys Ferry Medical Center.

Q: What is Mcdonough Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 10, 2006CLIA 11D0867368 · Waiver

68 HAMPTON ST, MCDONOUGH, GA 30253(770) 914-0342(770) 914-0493 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Keys Ferry Medical Center NPPES

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

KEYS FERRY MEDICAL CENTER (NPI 1710058953) is a healthcare organization registered as a family medicine in Mcdonough, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists William Harrell Van Laar, Owner, as its authorized official.

NPPES Registry Identity

NPI1710058953

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMCDONOUGH PRIMARY CARE INC

Location Address68 HAMPTON STMcdonough, GA 30253-3150

Mailing Address68 Hampton StMcdonough, GA 30253-3150 · (770) 914-0342 · Fax (770) 914-0493

Phone(770) 914-0342

Fax(770) 914-0493

Organization SubpartNo

Authorized OfficialWilliam Harrell Van LaarOwner · (770) 914-0342

Enumeration DateNovember 10, 2006

Last NPPES UpdateNovember 9, 2007

✔ NPI 1710058953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

68 HAMPTON ST, Mcdonough, GA 30253

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Other Names 1

Other NameKeys Ferry Medical Center

Other Identifiers 1

Medicare ID-Type UnspecifiedO1BDFLNGA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D0867368

Mcdonough Primary Care Inc · Mcdonough, GA

Active · expires Aug 31, 2026

CLIA Number11D0867368

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorWilliam H. Van Laar MD

Laboratory Phone(770) 914-0342

Laboratory LocationMcdonough Primary Care Inc68 Hampton Street, Mcdonough, GA 30253

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. WILLIAM HARRELL VANLAAR DO

Family Medicine

68 HAMPTON ST
MCDONOUGH, GA 30253

Henry County (770) 914-0342

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 Mcdonough Primary Care Inc's NPI number?

The NPI number for Mcdonough Primary Care Inc is 1710058953. It was assigned to this organization in the NPPES registry on November 10, 2006. The provider is also known as Keys Ferry Medical Center.

Where is Mcdonough Primary Care Inc located?

Mcdonough Primary Care Inc is located at 68 Hampton St, Mcdonough, GA 30253. The listed phone number is (770) 914-0342.

What is Mcdonough Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mcdonough Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0867368) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mcdonough Primary Care Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mcdonough Primary Care Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mcdonough Primary Care Inc was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.