Organization Active NPI

Southern Primary Care, LLC

Doing business as Amga Dmepos

  • Durable Medical Equipment & Medical Supplies
  • Warner Robins, GA
National Provider Identifier
1750219549
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTHERN PRIMARY CARE, LLC
Doing business as
Amga Dmepos
Practice address
101 Willie Lee Pkwy Ste 400
Warner Robins, GA 31088-9245
Phone
(478) 477-0966
Fax
(478) 254-3146
NPI assigned
May 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Jayesh PatelNPI 1548385966
Title
MD
Phone
(478) 477-0966

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

101 Willie Lee Pkwy Ste 400
Warner Robins, GA 31088-9245

Mailing address

197 Bass Rd
Macon, GA 31210-2060
Phone (478) 477-0966

Other names 1

  • AMGA DMEPOS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2171780Southern Primary Care101 Willie Lee Parkway, Suite 400, Warner Robins, GA 31088RegistrationFeb 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amga Dmepos3 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1750219549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 BASS RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102060",
            "telephone_number": "478-477-0966",
            "fax_number": "478-254-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIE LEE PKWY STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889245",
            "telephone_number": "478-477-0966",
            "fax_number": "478-254-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "478-477-0966"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMGA DMEPOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.