Primary Health Care Center of Dade, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

PRIMARY HEALTH CARE CENTER OF DADE, INC.

Practice address

29 Tiger TRL
Ringgold, GA 30736-2024

Phone

(706) 516-1814

Fax

(706) 657-2958

NPI assigned

Aug 18, 2021

Organization subpart

No

Name

Amy Buffington

Title

Credentialing Director

Phone

(706) 620-4494

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rome, GA
  • NPI 1043965056

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rossville, GA
  • NPI 1134857162

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • La Fayette, GA
  • NPI 1235505678

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Oglethorpe, GA
  • NPI 1255512182

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Trenton, GA
  • NPI 1437102449

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Summerville, GA
  • NPI 1457770612

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tunnel Hill, GA
  • NPI 1699016527

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ringgold, GA
  • NPI 1699503771

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rossville, GA
  • NPI 1780312710

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Oglethorpe, GA
  • NPI 1811688914

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • La Fayette, GA
  • NPI 1891395620

  O20060607000231

  Same enrollment
• Primary Health Care Center of Dade, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cedartown, GA
  • NPI 1952723298

  O20060607000231

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth W Patric Jr., MD

  • Family Medicine Physician
  • East Ridge, TN
  • NPI 1366480014
  NPD

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2021.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1326714569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 N MAIN ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522012",
            "telephone_number": "706-956-2665",
            "fax_number": "706-657-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TIGER TRL",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362024",
            "telephone_number": "706-516-1814",
            "fax_number": "706-657-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH CARE CENTER OF DADE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "BUFFINGTON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "706-620-4494"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pray Chiropractic PC
• Michael C Preston, MD
• Preventive Medicine & Chelation Therapy Inc
• Preventive Medicine Anti-Aging and Chelation, Inc
• Price Ringgold Drug Inc
• Primary Health Care Center of Dade, Inc.
• Priority Care Medical Center
• Promise Pediatrics LLC
• Publix Super Markets, Inc.
• Tammy Denise Rambo, LPN

• All providers in Ringgold, GA
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.

Verify at the official NPI Registry.