Organization Active NPI

Primecare Center, LLC

  • Family Medicine Physician
  • Dalton, GA
National Provider Identifier
1598794166
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMECARE CENTER, LLC
Doing business as
PrimaCare
Practice address
102 N Oaks Dr
Dalton, GA 30721-8392
Phone
(706) 270-9989
Fax
(706) 259-9601
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James R Zuppa, MDNPI 1013940840
Title
Medical Director
Phone
(706) 270-9989

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

102 N Oaks Dr
Dalton, GA 30721-8392

Mailing address

102 N Oaks Dr
Dalton, GA 30721-8392
Phone (706) 270-9989

Other identifiers 1

IdentifierTypeStateIssuer
52526190OtherGABCBS GA

Other names 1

  • PrimaCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150909002033 GA Part B Supplier - Clinic/Group Practice 9830406735 Receives reassigned benefits from 1 practitioner
Practice locations: Dalton, GA

National Provider Directory

National Provider Directory

Locations

301 S Fair Oaks Ave
Ste 103
Pasadena, CA 91105
Phone (626) 737-6266

102 N Oaks Dr
Dalton, GA 30721
Phone (706) 270-9989

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1598794166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N OAKS DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218392",
            "telephone_number": "706-270-9989",
            "fax_number": "706-259-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N OAKS DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218392",
            "telephone_number": "706-270-9989",
            "fax_number": "706-259-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "ZUPPA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-270-9989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA",
            "identifier": "52526190",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimaCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.