PRIMARY CARE OF BREMEN
NPI 1992710610
Clinic/Center - Rural Health in Bremen, GA

Active since July 30, 2006
204 ALLEN MEMORIAL DR, SUITE 201, BREMEN, GA 30110(770) 537-6500(770) 824-2600 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Primary Care Of Bremen NPPES

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

PRIMARY CARE OF BREMEN (NPI 1992710610) is a healthcare organization registered as a rural health in Bremen, Georgia and active in the NPI registry since July 2006. The organization lists Clint Hoffman, Sr Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1992710610
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTMC HARALSON FAMILY HEALTHCARE CENTER
Location Address204 ALLEN MEMORIAL DR, SUITE 201Bremen, GA 30110-2047
Mailing Address100 Greenway Blvd Fl 2Carrollton, GA 30117-4338 · (770) 838-8787 · Fax (770) 812-5735
Fax(770) 824-2600
Organization SubpartNo
Authorized OfficialClint HoffmanSr Vp Operations · (770) 838-8845
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1992710610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
204 ALLEN MEMORIAL DR, Bremen, GA 30110

Other Names 1

Doing Business AsPrimary Care Of Bremen

Other Identifiers 3

Medicaid300033792AGA
OtherDG2920GA · Medicare Id
Other367607289AGA · Clinic Rendering

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primary Care Of Bremen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20030404000017Part A · Rural Health ClinicDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Primary Care Of Bremen, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Family Practice2
Internal Medicine2

Clinicians, nearest first (11)

Internal Medicine
NPI 1962441493
204 ALLEN MEMORIAL DR STE 201
Bremen, GA 30110
(770) 537-6500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730841743
204 ALLEN MEMORIAL DR STE 201
Bremen, GA 30110
(770) 537-6500
✔ PECOSSame address
Family Practice
NPI 1609880707
204 ALLEN MEMORIAL DR SUITE 201
Bremen, GA 30110
(770) 537-6500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245989441
204 ALLEN MEMORIAL DR STE 201
Bremen, GA 30110
(770) 537-6500
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1811323249
1480 S HIGHWAY 27
Carrollton, GA 30117
(770) 836-9445
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1114487105
225 MAPLE VIEW DR STE 102
Carrollton, GA 30117
(770) 812-5678
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1326665183
1125 E HIGHWAY 166
Bowdon, GA 30108
(770) 258-5424
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1093460727
63 MULBERRY ROCK RD
Temple, GA 30179
(770) 812-3866
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1861620353
6025 PROFESSIONAL PKWY STE 200
Douglasville, GA 30134
(770) 949-0555
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1558726935
109 MAIN ST
Roanoke, AL 36274
(334) 710-0470
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1518450188
605 N WESTOVER BLVD
Albany, GA 31707
(229) 434-4200
✔ PECOS✔ Accepts Medicare155 mi

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 Tmc Haralson Family Healthcare Center's NPI number?

The NPI number for Tmc Haralson Family Healthcare Center is 1992710610. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Primary Care Of Bremen.

Where is Tmc Haralson Family Healthcare Center located?

Tmc Haralson Family Healthcare Center is located at 204 Allen Memorial Dr Suite 201, Bremen, GA 30110. The listed phone number is (770) 537-6500.

What is Tmc Haralson Family Healthcare Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Tmc Haralson Family Healthcare Center enrolled in Medicare?

Yes. Tmc Haralson Family Healthcare Center is registered in the Medicare PECOS enrollment system.

When is Tmc Haralson Family Healthcare Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Georgia, Rural Health Clinic) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tmc Haralson Family Healthcare Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Tmc Haralson Family Healthcare Center. 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 (7), Family Practice (2) and Internal Medicine (2). Of these, 3 practice at this address and 5 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 Tmc Haralson Family Healthcare Center was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.