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FAMILY PRIMECARE, LLC
NPI 1811168883
Family Medicine in Tifton, GA

Active since March 18, 2008
1489 KENNEDY RD, TIFTON, GA 31794(229) 391-9931(229) 391-9961 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Primecare, Llc NPPES

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

FAMILY PRIMECARE, LLC (NPI 1811168883) is a healthcare organization registered as a family medicine in Tifton, Georgia and active in the NPI registry since March 2008. The organization lists Richard Pierzchajlo, Owner, as its authorized official.

NPPES Registry Identity

NPI1811168883
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY PRIMECARE, LLC
Location Address1489 KENNEDY RDTifton, GA 31794-4159
Mailing Address1489 Kennedy RdTifton, GA 31794-4159 · (229) 391-9931 · Fax (229) 391-9961
Phone(229) 391-9931
Fax(229) 391-9961
Organization SubpartNo
Authorized OfficialRichard PierzchajloOwner · (229) 391-9931
Enumeration DateMarch 18, 2008
✔ NPI 1811168883 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 · 022620
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.
1489 KENNEDY RD, Tifton, GA 31794
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Other Identifiers 1

Medicare NSC3944220001GA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Primecare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Family Primecare, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Julie Hooks, NP
Nurse Practitioner
NPI 1891850731
1489 KENNEDY RD
Tifton, GA 31794
(229) 391-9931
✔ PECOS✔ Accepts MedicareSame address
Richard Pierzchajlo, M.D.
Family Practice
NPI 1639175680
1489 KENNEDY RD
Tifton, GA 31794
(229) 391-9931
✔ PECOS✔ Accepts MedicareSame address
Kayla Williams, FNP
Nurse Practitioner
NPI 1992445480
1489 KENNEDY RD
Tifton, GA 31794
(229) 238-2007
✔ PECOSSame address
Mary Wright, FNP-C
Nurse Practitioner
NPI 1124479753
1007 E 16TH AVE STE A
Cordele, GA 31015
(229) 273-1716
✔ PECOS38 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D0978918

Family Primecare LLC · Tifton, GA
Expired · Oct 5, 2026
CLIA Number11D0978918
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorRichard P. Pierzchajlo
Laboratory Phone(229) 391-9931
Laboratory LocationFamily Primecare LLC1489 Kennedy Road, Tifton, GA 31794
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Primecare, LLC's NPI number?

The NPI number for Family Primecare, LLC is 1811168883. It was assigned to this organization in the NPPES registry on March 18, 2008.

Where is Family Primecare, LLC located?

Family Primecare, LLC is located at 1489 Kennedy Rd, Tifton, GA 31794. The listed phone number is (229) 391-9931.

What is Family Primecare, LLC's specialty?

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

Is Family Primecare, LLC enrolled in Medicare?

Yes. Family Primecare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Primecare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Primecare, LLC. 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 (3) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Primecare, LLC was last updated on March 18, 2008. 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.