SOUTH CENTRAL PRIMARY CARE CENTER, INC
NPI 1891978854
Clinic/Center - Federally Qualified Health Center (FQHC) in Ocilla, GA
About South Central Primary Care Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH CENTRAL PRIMARY CARE CENTER, INC (NPI 1891978854) is a healthcare organization registered as a federally qualified health center (fqhc) in Ocilla, Georgia and active in the NPI registry since December 2007. The organization lists R B Tucker, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Central Primary Care Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to South Central Primary Care Center, Inc, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 27Source: 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 South Central Primary Care Center, Inc's NPI number?
The NPI number for South Central Primary Care Center, Inc is 1891978854. It was assigned to this organization in the NPPES registry on December 13, 2007.
Where is South Central Primary Care Center, Inc located?
South Central Primary Care Center, Inc is located at 204 E 4th St, Ocilla, GA 31774. The listed phone number is (229) 468-9166.
What is South Central Primary Care Center, 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 South Central Primary Care Center, Inc enrolled in Medicare?
Yes. South Central Primary Care Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Central Primary Care Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 7 Medicare specialties reassign their Medicare billing to South Central Primary Care Center, 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 (18), Family Practice (3) and Clinical Social Worker (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Central Primary Care Center, Inc was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# South Central Primary Care Center, Inc · NPI 1891978854
Federally Qualified Health Center (FQHC) organization in Ocilla, Georgia. Organization record, active in the CMS NPPES registry since December 13, 2007.
## Identity
- **NPI:** 1891978854 (Entity type: Organization)
- **Enumerated:** December 13, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** R Tucker, CFO
## Practice location
- **Address:** 204 E 4TH ST, Ocilla, GA 31774-1539
- **Phone:** (229) 468-9166 · **Fax:** (229) 468-9188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Family Practice (3), Clinical Social Worker (2); 6 practice within 10 miles; [full list](https://npiprofile.com/npi/1891978854/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891978854) · Data from the CMS NPPES public registry.