P Praxis·MD
● Active Type 2 · Organization

South Central Primary Care Center, Inc

Clinic/Center·Fitzgerald, GA· NPI 1295094340 · Enumerated 2012 · 14 years on NPI
South Central Primary Care Center, Inc is 1 of 462 clinic/center organizations in Georgia.
NPI age
14 years
Enumerated 2012-05-10
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
14 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
299 W Benjamin Hill Dr, Suite A
Fitzgerald, GA 31750
📞 2294235437
Mailing address
204 E 4th St, P O Box 749
Ocilla, GA 317741421
📞 2294689166fax 2294689188

Authorized official

Robert Bonds Tucker
Ceo
📞 2294689166

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QF0400X

Identifiers

TypeValueNotes
05 (GA) 0003124446A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • KIDS HEALTH FITZGERALD
    Type code 3 recorded 2021-10-08

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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