NPIMap

Southern Primary Care, LLC

A Medicare group practice based in Macon, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3173897196), with 22 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173897196The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
FL, GA
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 8 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20170914001778 GA Part B Supplier - Clinic/Group Practice 1225551328
O20251007002724 FL Part B Supplier - Independent Clinical Laboratory 1245111814

NPIs in this group 2

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 22

Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (5).

Sources for this page