NPI age
12 years
Enumerated 2013-10-25
● Active Type 2 · Organization
South Central Primary Care Center, Inc
South Central Primary Care Center, Inc is 1 of 462 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tucker
Ceo
Last NPPES update
2025-04-03
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
12 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-10Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
303 Shirley Ave, Ste B
Douglas, GA 31533
Mailing address
204 E 4th St, P O Box 749
Ocilla, GA 317741539
Authorized official
Robert B Tucker, CEO
Ceo
📞 2294689166
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003140047A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
KIDS HEALTH
-
SOUTH CENTRAL PRIMARY CARE
Practice context
Single-site organization. Only one practice location on file.
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