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
2024-11-20
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
2301 N Ashley St
Valdosta, GA 316022620
Mailing address
Po Box 749
Ocilla, GA 317740749
Authorized official
Robert Bonds Tucker
Ceo
📞 2294689166
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Michelle Brewer-Ewing Nurse Practitioner NPI 1235184524
- Serenia Carnegie Nurse Practitioner NPI 1295774396
- Marlon Charles, NP Nurse Practitioner NPI 1083409676
- David Jackson, NP Nurse Practitioner NPI 1215079983
- Sara Lovette, NP-C Nurse Practitioner NPI 1174249759
- Guillermo Saurina Internal Medicine NPI 1255390084
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
South Central Primary Care- Ashley Street
-
South Central Primary Care- Ashley Street
Practice context
Multi-provider organization. 6 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 →
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