NPIMap

Organization Active NPI

Primary Health Care Center of Dade, Inc.

Doing business as College and Career Academy, SBHC

  • Federally Qualified Health Center (FQHC)
  • Ringgold, GA
National Provider Identifier
1699503771
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Doing business as
College and Career Academy, SBHC
Practice address
182 Catoosa Cir
Ringgold, GA 30736-8078
Phone
(706) 866-5520
Fax
(706) 657-2958
NPI assigned
Jul 22, 2024
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Amy Buffington
Title
Credentialing Director
Phone
(706) 620-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

182 Catoosa Cir
Ringgold, GA 30736-8078

Mailing address

13570 N Main St
Trenton, GA 30752-2012
Phone (706) 956-2665

Other names 1

  • College and Career Academy, SBHC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060607000231 GA Part B Supplier - Clinic/Group Practice 0547272650 Receives reassigned benefits from 10 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Summerville, GA; Tunnel Hill, GA; Trenton, GA; Rossville, GA; Ringgold, GA; La Fayette, GA; Fort Oglethorpe, GA
O20250312001256 GA Part A Provider - Federally Qualified Health Center (FQHC) 0547272650 Practice locations: Ringgold, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699503771. Details of each certification follow.

Federally qualified health center certification: CCN C21033

Legal name
PRIMARY HEALTH CARE CENTER OF DADE, INC
Doing business as
COLLEGE AND CAREER ACADEMY, SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 5, 2025
Last certification
Mar 5, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
182 Catoosa Circle
Ringgold, GA 30736-8078

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory
Tax ID family
Primary Health Care Center of Dade Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

29 Tiger Trl
Ringgold, GA 30736
Phone (706) 516-1814

1400 Crane St SW
Rome, GA 30161
Phone (706) 331-6177

1250 Wilson Rd
Rossville, GA 30741
Phone (423) 637-3506

1430 Suggs St
Rossville, GA 30741
Phone (706) 866-5520

134 Rhea McClanahan Dr
Tunnel Hill, GA 30755
Phone (706) 516-1814

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maritza McKinney Individual OtherBoard Member Apr 15, 2026
Kay Henderson Individual Corporate OfficerBoard Member Jul 12, 2024
Susan Wells Individual Corporate OfficerBoard Treasurer Jul 12, 2024
Norman Menard Individual OtherBoard Member Apr 15, 2026
Andrew Plisko Individual Corporate OfficerBoard President Jul 12, 2024
Dale Thomas Dreiling Individual OtherBoard Member Apr 15, 2026
Ruben Olm Individual OtherBoard Member Apr 15, 2026
Richard Christman Individual W-2 Managing EmployeeAd; Apr 15, 2026 100%
Davis Brown Individual OtherBoard Member Apr 15, 2026
Michael Caldwell Individual OtherBoard Member Apr 15, 2026
Amy Buffington Individual Corporate DirectorCredentialing Director Jun 11, 2010 100%
W-2 Managing EmployeeCredentialing Director Aug 31, 2024
Talisyn Ridley Individual Corporate OfficerBoard Secretary Jul 12, 2024

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tiger Creek Elementary SchoolTunnel Hill, GA, CCN 111960 Federally qualified health center Other Mar 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1699503771",
    "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": "182 CATOOSA CIR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368078",
            "telephone_number": "706-866-5520",
            "fax_number": "706-657-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH CARE CENTER OF DADE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College and Career Academy, SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ringgold, GA

Sources for this page

Verify at the official NPI Registry.