Primary Health Care Center of Dade, Inc

A Medicare group practice based in La Fayette, GA: 13 NPIs enrolled under one PECOS associate control ID (PAC ID 0547272650), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547272650The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
11
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 7 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20060607000231 GA Part B Supplier - Clinic/Group Practice 1255512182
O20080321000168 GA Part A Provider - Federally Qualified Health Center (FQHC) 1255512182
O20100623000972 GA Part A Provider - Federally Qualified Health Center (FQHC) 1437102449
O20221221001624 GA Part A Provider - Federally Qualified Health Center (FQHC) 1780312710
O20210212000072 GA Part A Provider - Federally Qualified Health Center (FQHC) 1891395620
O20250312001256 GA Part A Provider - Federally Qualified Health Center (FQHC) 1699503771
O20230227001603 GA Part A Provider - Federally Qualified Health Center (FQHC) 1134857162
O20231116000616 GA Part A Provider - Federally Qualified Health Center (FQHC) 1811688914
O20130509000391 GA Part A Provider - Federally Qualified Health Center (FQHC) 1699016527
O20140904002621 GA Part A Provider - Federally Qualified Health Center (FQHC) 1457770612
O20151231001307 GA Part A Provider - Federally Qualified Health Center (FQHC) 1235505678

NPIs in this group 13

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (3).

Sources for this page