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DOERUN PRIMARY CARE CLINIC LLC
NPI 1891480653
Family Medicine in Doerun, GA

Active since April 07, 2023
204 N BROAD ST, DOERUN, GA 31744(229) 985-3320(229) 890-1282 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2023, Jul 14, 2023, Apr 7, 2023 (3 updates tracked since 2023).

About Doerun Primary Care Clinic Llc NPPES

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

DOERUN PRIMARY CARE CLINIC LLC (NPI 1891480653) is a healthcare organization registered as a family medicine in Doerun, Georgia and active in the NPI registry since April 2023. The organization lists Jayshree Bhavnani, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891480653
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOERUN PRIMARY CARE CLINIC LLC
Location Address204 N BROAD STDoerun, GA 31744
Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 891-9131 · Fax (229) 891-9130
Phone(229) 985-3320
Fax(229) 890-1282
Organization SubpartNo
Authorized OfficialJayshree BhavnaniCfo · (229) 891-9131
Enumeration DateApril 7, 2023
Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1891480653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
204 N BROAD ST, Doerun, GA 31744
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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

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 Doerun Primary Care Clinic LLC's NPI number?

The NPI number for Doerun Primary Care Clinic LLC is 1891480653. It was assigned to this organization in the NPPES registry on April 7, 2023.

Where is Doerun Primary Care Clinic LLC located?

Doerun Primary Care Clinic LLC is located at 204 N Broad St, Doerun, GA 31744. The listed phone number is (229) 985-3320.

What is Doerun Primary Care Clinic 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 Doerun Primary Care Clinic LLC was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.