NPI age
4 years
Enumerated 2021-08-30
● 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
Cfo
Last NPPES update
2021-08-30
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-08Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
283 Martin Luther King JR Blvd
Blakely, GA 398233455
Mailing address
338 College St
Blakely, GA 398232554
Authorized official
Edwin James
Cfo
📞 2297232660
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Daneisha Rogers, DNP, FNP-C Nurse Practitioner NPI 1821689720
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- Early County Elementary School
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Primary Care Of Southwest Georgia, Inc.
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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.