NPI age
2 years
Enumerated 2024-01-15
● 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
2024-11-26
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
2 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-01Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
105 W Cranford Ave
Valdosta, GA 316022930
Mailing address
204 E 4th St
Ocilla, GA 317741539
Authorized official
Robert Bonds Tucker
Ceo
📞 2294689166
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Thomas Anderson, M.D. Pediatrics NPI 1033169321
- Cyndia Dampier Nurse Practitioner NPI 1154370773
- Jasbir Gill, M.D Pediatrics NPI 1982653556
- Cristina Lopez, MD Pediatrics NPI 1356754097
- Irene Murema, MD Pediatrics NPI 1063839983
- Kristina Niehanke, NP Nurse Practitioner NPI 1306071444
- Zakiyyah Weatherspoon, FNP-BC; PMHNP-BC Nurse Practitioner NPI 1285904250
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Valdosta Children's Healthcare
-
Valdosta Children's Healthcare
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.