NPI age
7 years
Enumerated 2018-06-26
● 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
7 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-06Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
247 Northside Dr Ste B
Valdosta, GA 31602
Mailing address
Po Box 749
Ocilla, GA 317740749
Authorized official
Robert B Tucker
Ceo
📞 2294689166
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Carolyn Eaves, APRN, MSN-FNP BC Nurse Practitioner NPI 1700425758
- Chinmay Patel, MD Family Medicine NPI 1366859233
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
NORTHSIDE FAMILY HEALTH CENTER
Practice context
Multi-provider organization. 2 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.