ABBEVILLE PRIMARY CARE
NPI 1871991844
Clinic/Center - Primary Care in Abbeville, GA

Active since December 08, 2014
417 BROAD ST S, ABBEVILLE, GA 31001(229) 467-3209(229) 367-3212 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abbeville Primary Care NPPES

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

ABBEVILLE PRIMARY CARE (NPI 1871991844) is a healthcare organization registered as a primary care in Abbeville, Georgia and active in the NPI registry since December 2014. The organization lists Michael Estes, Mayor, as its authorized official.

NPPES Registry Identity

NPI1871991844
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCITY OF ABBEVILLE
Location Address417 BROAD ST SAbbeville, GA 31001-4305
Mailing Address215 Depot St SAbbeville, GA 31001-4363 · (229) 467-3201
Fax(229) 367-3212
Organization SubpartNo
Authorized OfficialMichael EstesMayor · (229) 467-3201
Enumeration DateDecember 8, 2014
Last NPPES UpdateJanuary 21, 2015
NPI 1871991844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
417 BROAD ST S, Abbeville, GA 31001

Other Names 1

Doing Business AsAbbeville Primary Care

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 11D2151390

Abbeville Primary Care · Abbeville, GA
Expired · Jul 17, 2026
CLIA Number11D2151390
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2024
Certificate Expiration DateJuly 17, 2026
Laboratory DirectorEugene H. Jackson
Laboratory Phone(229) 467-3209
Laboratory LocationAbbeville Primary Care417 S Broad Street, Abbeville, GA 31001
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Rural Health)
417 BROAD ST S
ABBEVILLE, GA 31001
Nurse Practitioner (Family)
417 BROAD ST S
ABBEVILLE, GA 31001
Physician Assistant
417 BROAD ST S
ABBEVILLE, GA 31001
Nurse Practitioner (Family)
417 BROAD ST S
ABBEVILLE, GA 31001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871991844, enumerated as an "organization" on December 08, 2014.

The provider is located at 417 BROAD ST S ABBEVILLE, GA 31001 and the phone number is (229) 467-3209.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.