Active NPI
Primary Medical Care
- Family Medicine Physician
- Jonesboro, GA
National Provider Identifier
1861452492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O21592
- Legal business name
- PRIMARY MEDICAL CARE
- Practice address
- 1287 Hwy 138 Spur
Suite #8
Jonesboro, GA 30236 - Phone
- (770) 471-9990
- Fax
- (770) 471-4290
- NPI assigned
- Mar 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Louelina M Sood, MD
- Title
- MD
- Phone
- (770) 471-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O21592 | GA | Primary |
Addresses
Primary practice location
1287 Hwy 138 Spur
Suite #8
Jonesboro, GA 30236
Mailing address
1287 Hwy 138 Spur
Suite #8
Jonesboro, GA 30236
Phone (770) 471-9990
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010052858 | Medicaid | GA | |
| 85001388G | Other | GEORGIA BETTER HEALTH | |
| DA2480 | Other | RAILROAD MEDICARE | |
| 279682172 | Other | TRICARE | |
| 000368046D | Medicaid | GA | |
| P00039443 | Other | RAILROAD MEDICARE | |
| 1575820000 | Other | DEPT OF LABOR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861452492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 HWY 138 SPUR",
"address_2": "SUITE #8",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "770-471-9990",
"fax_number": "770-471-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1287 HWY 138 SPUR",
"address_2": "SUITE #8",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "770-471-9990",
"fax_number": "770-471-4290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY MEDICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SOOD",
"authorized_official_first_name": "LOUELINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "770-471-9990",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "O21592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010052858",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BETTER HEALTH",
"identifier": "85001388G",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA2480",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "279682172",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000368046D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00039443",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "1575820000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
- Precision Private Home Care LLC
- Premier EMS Atlanta
- Premier Psychological Center, Inc.
- Henrimae Price
- Tasondra Price, LCSW
- Prime Medical Supplies LLC
- Valerie Terreze Prince, LPC, CAC-II
- Pro Omnibus Diagnostic Center LLC
- Project Real Life Youth Occupational Training Corps, Inc.
- Prosperity Support Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.