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SCREVEN PRIMARY CARE
NPI 1942803689
Clinic/Center - Primary Care in Sylvania, GA

Active since November 17, 2020CLIA 11D2028836 · Waiver
213 MIMS RD, SYLVANIA, GA 30467(912) 303-7729(912) 564-2174 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Screven Primary Care NPPES

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

SCREVEN PRIMARY CARE (NPI 1942803689) is a healthcare organization registered as a primary care in Sylvania, Georgia and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Sherma Peter, Owner, as its authorized official.

NPPES Registry Identity

NPI1942803689
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSCREVEN PRIMARY CARE
Location Address213 MIMS RDSylvania, GA 30467-1994
Mailing Address213 Mims RdSylvania, GA 30467-1994 · (912) 303-7729 · Fax (912) 564-2174
Phone(912) 303-7729
Fax(912) 564-2174
Organization SubpartNo
Authorized OfficialSherma PeterOwner · (912) 303-7729
Enumeration DateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
✔ NPI 1942803689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
213 MIMS RD, Sylvania, GA 30467
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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 11D2028836

Screven Primary Care · Sylvania, GA
Active · expires Aug 24, 2027
CLIA Number11D2028836
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorSherma Peter
Laboratory Phone(912) 564-5290
Laboratory LocationScreven Primary Care213 Mims Road, Sylvania, GA 30467
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ANNA H WILLIAMS PA
Physician Assistant (Medical)
213 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 303-7729
JOHN WILL BACON NP
Nurse Practitioner
213 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 303-7729
ALYSA MERTRIECE WHITNEY FNP-BC
Nurse Practitioner (Family)
213 MIMS RD
SYLVANIA, GA 30467
Screven County (912) 303-7729

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 Screven Primary Care's NPI number?

The NPI number for Screven Primary Care is 1942803689. It was assigned to this organization in the NPPES registry on November 17, 2020.

Where is Screven Primary Care located?

Screven Primary Care is located at 213 Mims Rd, Sylvania, GA 30467. The listed phone number is (912) 303-7729.

What is Screven Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Screven Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2028836) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Screven Primary Care was last updated on November 17, 2020. 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.