PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
NPI 1780607754
Clinic/Center - Federally Qualified Health Center (FQHC) in Blakely, GA
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
Specialties & Licenses 4
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Care Of Southwest Georgia, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Primary Care Of Southwest Georgia, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Primary Care Of Southwest Georgia, Inc. enrolled in Medicare?
Yes. Primary Care Of Southwest Georgia, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Of Southwest Georgia, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 6 Medicare specialties reassign their Medicare billing to Primary Care Of Southwest Georgia, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (14), Obstetrics/Gynecology (4) and Family Practice (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Primary Care Of Southwest Georgia, Inc. · NPI 1780607754
Federally Qualified Health Center (FQHC) organization in Blakely, Georgia. Organization record, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1780607754 (Entity type: Organization)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Edwin James, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 360 COLLEGE STREET, Blakely, GA 39823
- **Phone:** (229) 723-2660 · **Fax:** (229) 723-2663
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Obstetrics/Gynecology (4), Family Practice (2); 4 practice at this address; [full list](https://npiprofile.com/npi/1780607754/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2014
- **Other identifiers:** Medicaid 024893266A (GA); Medicare PIN GRP7568; Medicare OSCAR/certification 111893 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780607754) · Data from the CMS NPPES public registry.