MADISON PRIMARY CARE, LLC
NPI 1710911458
Family Medicine in Madison, GA

Active since July 10, 2006
1820 BETHANY RD, MADISON, GA 30650(706) 342-3103(706) 342-7430 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Primary Care, Llc NPPES

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

MADISON PRIMARY CARE, LLC (NPI 1710911458) is a healthcare organization registered as a family medicine in Madison, Georgia and active in the NPI registry since July 2006. The organization lists Timothy B Gibson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710911458
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMADISON PRIMARY CARE, LLC
Location Address1820 BETHANY RDMadison, GA 30650-4701
Mailing Address1820 Bethany RdMadison, GA 30650-4701 · (706) 342-3103 · Fax (706) 342-7430
Fax(706) 342-7430
Organization SubpartNo
Authorized OfficialTimothy B GibsonCeo · (706) 342-3103
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 10, 2007
NPI 1710911458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 015584
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.
1820 BETHANY RD, Madison, GA 30650

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP3798GA · Medicare Group Number

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

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Primary Care)
1820 BETHANY RD
MADISON, GA 30650
Family Medicine
1820 BETHANY RD
MADISON, GA 30650
Family Medicine
1820 BETHANY RD
MADISON, GA 30650

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 Madison Primary Care, LLC's NPI number?

The NPI number for Madison Primary Care, LLC is 1710911458. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Madison Primary Care, LLC located?

Madison Primary Care, LLC is located at 1820 Bethany Rd, Madison, GA 30650. The listed phone number is (706) 342-3103.

What is Madison Primary Care, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Primary Care, LLC was last updated on August 10, 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.