Active NPI
Primacare, LLC
- Family Nurse Practitioner
- Snellville, GA
National Provider Identifier
1194597476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PRIMACARE, LLC
- Practice address
- 3806 Wood Hollow Way
Snellville, GA 30039-6080 - Phone
- (470) 902-8400
- Fax
- (770) 783-6604
- NPI assigned
- Oct 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Racquel Toomer, NP
- Title
- Owner
- Phone
- (470) 902-8400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3806 Wood Hollow Way
Snellville, GA 30039-6080
Mailing address
3806 Wood Hollow Way
Snellville, GA 30039-6080
Phone (470) 902-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Snellville, GA
- NPI 1497398820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1194597476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3806 WOOD HOLLOW WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396080",
"telephone_number": "470-902-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3806 WOOD HOLLOW WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396080",
"telephone_number": "470-902-8400",
"fax_number": "770-783-6604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMACARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-30",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "TOOMER",
"authorized_official_first_name": "RACQUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-902-8400",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
- Janice Hammond Pressley, M.D.
- Prestige Pharmacy Snellville LLC
- Preventative Health & Wellness, LLC
- Tamara Prickett, LPC
- Pride Healthcare Staffing LLC
- Prodigious Healthcare Providers
- Professional Dental Alliance of Snellville, LLC
- Professional Hospice & Palliative Care
- Promed Preferred Ga Professional Corporation
- Promising Hands Home Care Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.