NPIMap

South Central Primary Care Center, Inc

A Medicare group practice based in Valdosta, GA: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 1951395920), with 26 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1951395920The 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, Part B Supplier - Pharmacy
Enrolled in
GA
Enrollments
8
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 7 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20061107000444 GA Part A Provider - Federally Qualified Health Center (FQHC) 1558445742
O20040413000249 GA Part B Supplier - Clinic/Group Practice 1891978854
O20070629000611 GA Part A Provider - Federally Qualified Health Center (FQHC) 1063840296
O20240229001353 GA Part B Supplier - Pharmacy 1467223818
O20240524002499 GA Part A Provider - Federally Qualified Health Center (FQHC) 1467223818
O20260409003880 GA Part B Supplier - Clinic/Group Practice 1528683885
O20190828002078 GA Part A Provider - Federally Qualified Health Center (FQHC) 1356709646
O20150910002462 GA Part A Provider - Federally Qualified Health Center (FQHC) 1568844991

NPIs in this group 9

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 26

Clinicians who reassign their Medicare benefits to this group (26) or whom Care Compare lists as members (4).

Sources for this page