Organization Active NPI

Primary Square Inc.

  • Family Medicine Physician
  • Midlothian, VA
National Provider Identifier
1609794734
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY SQUARE INC.
Practice address
13553 Midlothian Tpke
Midlothian, VA 23113-4261
Phone
(804) 614-8619
Fax
(844) 777-1754
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Mr. George Bruce Sowers III
Title
President & Ceo
Phone
(804) 614-8619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13553 Midlothian Tpke
Midlothian, VA 23113-4261

Mailing address

15801 Swindon Way
Midlothian, VA 23112-5531
Phone (804) 614-8619

Other practice location 1

22606 Panama City Beach Pkwy
Panama City Beach, FL 32413-1150
Phone (804) 614-8619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1609794734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 SWINDON WAY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231125531",
            "telephone_number": "804-614-8619",
            "fax_number": "844-777-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13553 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134261",
            "telephone_number": "804-614-8619",
            "fax_number": "844-777-1754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22606 Panama City Beach Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324131150",
            "country_code": "US",
            "telephone_number": "804-614-8619",
            "fax_number": "844-777-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY SQUARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "SOWERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "804-614-8619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.