NPI age
10 years
Enumerated 2015-07-02
● Active Type 2 · Organization
Subpart
Primary Care Of Southwest Georgia, Inc.
Primary Care Of Southwest Georgia, 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
James
Chief Financial Officer
Last NPPES update
2015-07-02
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
10 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-07Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
509 Wheat Ave
Bainbridge, GA 398194321
Mailing address
360 College St
Blakely, GA 398232554
Authorized official
Edwin James
Chief Financial Officer
📞 2297232660
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Larissa Carpenter, LCSW Social Worker NPI 1396113148
- Emily Conoly, APNP Nurse Practitioner NPI 1518422450
- Christina Haire, CSW Social Worker NPI 1366800013
- Melody Price, LCSW Social Worker NPI 1083716427
- Lisa Sellers, ARNP Nurse Practitioner NPI 1275012015
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Primary Care of Southwest Georgia- Bainbridge
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Primary Care Of Southwest Georgia, Inc..
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