PRIMARY CARE OF SOUTHWEST GEORGIA, INC
NPI 1932877610
Clinic/Center - Federally Qualified Health Center (FQHC) in Blakely, GA

Active since August 30, 2021
283 MARTIN LUTHER KING JR BLVD, BLAKELY, GA 39823(229) 723-4101 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1932877610), doing business as Primary Care Of Southwest Georgia- Early County Elementary School, is a healthcare organization registered as a federally qualified health center (fqhc) in Blakely, Georgia and active in the NPI registry since August 2021. The organization lists Edwin James, Cfo, as its authorized official.

NPPES Registry Identity

NPI1932877610
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePRIMARY CARE OF SOUTHWEST GEORGIA, INC
Location Address283 MARTIN LUTHER KING JR BLVDBlakely, GA 39823-3455
Mailing Address338 College StBlakely, GA 39823-2554
Organization SubpartYes
Authorized OfficialEdwin JamesCfo · (229) 723-2660
Enumeration DateAugust 30, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1932877610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
283 MARTIN LUTHER KING JR BLVD, Blakely, GA 39823

Other Names 1

Doing Business AsPrimary Care Of Southwest Georgia- Early County Elementary School

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

23

Medicare 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 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner14
Obstetrics/Gynecology4
Family Practice2
Clinical Social Worker1
Mental Health Counselor1
Physician Assistant1

Nearest to this location (20)

See all 23
Nurse Practitioner
NPI 1861222457
360 COLLEGE ST
Blakely, GA 39823
(229) 723-2660
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1639582281
360 COLLEGE ST
Blakely, GA 39823
(229) 723-2660
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1235460833
360 COLLEGE ST
Blakely, GA 39823
(229) 723-2660
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1043101447
360 COLLEGE ST
Blakely, GA 39823
(229) 723-2660
✔ PECOS1.4 mi
Obstetrics/Gynecology
NPI 1225476393
900 N. WILEY AVE
Donalsonville, GA 39845
(229) 524-8489
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1518422450
509 WHEAT AVE
Bainbridge, GA 39819
(229) 416-4421
✔ PECOS41 mi
Nurse Practitioner
NPI 1275012015
509 WHEAT AVE
Bainbridge, GA 39819
(229) 416-4421
✔ PECOS41 mi
Obstetrics/Gynecology
NPI 1629255252
1501 MILULI AVE
Bainbridge, GA 39819
(229) 243-3360
✔ PECOS✔ Accepts Medicare41 mi
Obstetrics/Gynecology
NPI 1528328481
1501 MILULI AVE
Bainbridge, GA 39819
(229) 243-0152
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1447705827
1205 US HIGHWAY 19 S
Leesburg, GA 31763
(229) 759-7028
✔ PECOS51 mi
Nurse Practitioner
NPI 1780922849
4681 US HIGHWAY 84 BYP W
Thomasville, GA 31792
(229) 227-2936
✔ PECOS68 mi
Nurse Practitioner
NPI 1710594106
916 S BROAD ST
Thomasville, GA 31792
(229) 226-8800
✔ PECOS68 mi
Family Practice
NPI 1326082298
454 SMITH AVE
Thomasville, GA 31792
(229) 227-5510
✔ PECOS✔ Accepts Medicare69 mi
Physician Assistant
NPI 1699706911
454 SMITH AVE
Thomasville, GA 31792
(229) 227-5510
✔ PECOS69 mi
Nurse Practitioner
NPI 1619529344
454 SMITH AVE
Thomasville, GA 31792
(229) 227-5510
✔ PECOS69 mi
Clinical Social Worker
NPI 1497388896
454 SMITH AVE
Thomasville, GA 31792
(229) 227-5510
✔ PECOS✔ Accepts Medicare69 mi
Family Practice
NPI 1669572970
454 SMITH AVE
Thomasville, GA 31792
(229) 227-5510
✔ PECOS✔ Accepts Medicare69 mi
Nurse Practitioner
NPI 1023780400
454 SMITH AVE
Thomasville, GA 31792
(229) 227-5510
✔ PECOS69 mi
Nurse Practitioner
NPI 1649948092
907 N COURT ST
Quitman, GA 31643
(229) 263-4531
✔ PECOS92 mi
Nurse Practitioner
NPI 1780168203
109 EASTWICK CT
Macon, GA 31210
(478) 370-1556
✔ PECOS✔ Accepts Medicare129 mi
See all 23 clinicians

Source: 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 1932877610. It was assigned to this organization in the NPPES registry on August 30, 2021. The provider is doing business as Primary Care of Southwest Georgia- Early County Elementary School.

Where is Primary Care Of Southwest Georgia, Inc located?

Primary Care Of Southwest Georgia, Inc is located at 283 Martin Luther King Jr Blvd, Blakely, GA 39823. The listed phone number is (229) 723-4101.

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 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 Primary Care Of Southwest Georgia, Inc was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.