PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
NPI 1780607754
Clinic/Center - Federally Qualified Health Center (FQHC) in Blakely, GA

Q: What is Primary Care Of Southwest Georgia, 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 July 25, 2006

360 COLLEGE STREET, BLAKELY, GA 39823(229) 723-2660(229) 723-2663 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Primary Care Of Southwest Georgia, Inc. NPPES

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

PRIMARY CARE OF SOUTHWEST GEORGIA, INC. (NPI 1780607754) is a healthcare organization registered as a federally qualified health center (fqhc) in Blakely, Georgia and active in the NPI registry since July 2006. The organization lists Edwin V James, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1780607754

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePRIMARY CARE OF SOUTHWEST GEORGIA, INC.

Location Address360 COLLEGE STREETBlakely, GA 39823

Mailing Address360 College StreetBlakely, GA 39823 · (229) 723-2660 · Fax (229) 723-2663

Phone(229) 723-2660

Fax(229) 723-2663

Organization SubpartNo

Authorized OfficialEdwin V JamesChief Financial Officer · (229) 723-2660

Enumeration DateJuly 25, 2006

Last NPPES UpdateMay 15, 2014

✔ NPI 1780607754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X · License 060068 (GA)

Also ListedInternal MedicineTaxonomy 207R00000X · License 057747 (GA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN188412 (GA)

360 COLLEGE STREET, Blakely, GA 39823

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Other Identifiers 3

Medicaid024893266AGA

Medicare PINGRP7568

Medicare OSCAR/certification111893GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

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 Primary Care Of Southwest Georgia, Inc.'s NPI number?

The NPI number for Primary Care Of Southwest Georgia, Inc. is 1780607754. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Primary Care Of Southwest Georgia, Inc. located?

Primary Care Of Southwest Georgia, Inc. is located at 360 College Street, Blakely, GA 39823. The listed phone number is (229) 723-2660.

What is Primary Care Of Southwest Georgia, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Primary Care Of Southwest Georgia, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Primary Care Of Southwest Georgia, 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 Primary Care Of Southwest Georgia, Inc. was last updated on May 15, 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.