NPIMap

Organization Active NPI

J C Lewis Primary Health Care Center Inc

  • Federally Qualified Health Center (FQHC)
  • Savannah, GA
National Provider Identifier
1992229280
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
J C LEWIS PRIMARY HEALTH CARE CENTER INC
Practice address
5 Mall Anx
Savannah, GA 31406-4738
Phone
(912) 721-6705
Fax
(912) 233-2057
NPI assigned
Jul 28, 2017
Organization subpart
Yes
Parent organization
J C LEWIS PRIMARY HEALTHCARE CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Glenn Pelkey
Title
Chief Financial Officer
Phone
(912) 495-8887

Specialties & licenses 1

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

Addresses

Primary practice location

5 Mall Anx
Savannah, GA 31406-4738

Mailing address

PO Box 13577
Savannah, GA 31416-0577
Phone (912) 495-8887

National Provider Directory

National Provider Directory
Tax ID family
J C Lewis Primary Health Care Center Inc6 organizations share this tax ID, including this one
Part of
J C Lewis Primary Health Care Center Inc

Other organizations with this tax ID 5

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

Locations

107 Fahm St
Savannah, GA 31401
Phone (912) 544-0867

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1992229280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13577",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160577",
            "telephone_number": "912-495-8887",
            "fax_number": "912-233-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MALL ANX",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064738",
            "telephone_number": "912-721-6705",
            "fax_number": "912-233-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C LEWIS PRIMARY HEALTH CARE CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J C LEWIS PRIMARY HEALTHCARE CENTER, INC",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "PELKEY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "912-495-8887"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.