PRIMARY HEALTH CARE CENTER OF DADE, INC. (NPI# 1457770612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457770612 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| Practice Address |
11638 Highway 27 Suite 8 Summerville GA 30747-8514 |
| Mailing Address |
13570 N Main St Trenton GA 30752-2012 |
| Practice Telephone | 7066577575 |
| Mailing Telephone | 7066577575 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | AMY L BUFFINGTON (ADMINISTRATIVE SERVICES MANAGER) |
| Authorized Official Telephone | 7066577575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1699016527 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 134 Rhea Mcclanahan Dr, Tunnel Hill, GA 30755-7328 | 2013-03-01 |
| 1356715452 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 87 S Burnt Mill Rd, La Fayette, GA 30728-4263 | 2015-11-30 |
| 1235505678 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 87 S Burnt Mill Rd, La Fayette, GA 30728-4263 | 2015-08-20 |
| 1952723298 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 118 E Girard Ave, Cedartown, GA 30125-2778 | 2014-01-06 |
| 1255512182 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 205 Jenkins Rd, Rossville, GA 30741 | 2007-11-20 |
| 1437102449 | Primary Health Care Center of Dade, Inc. | Dentist | 13570 N Main St, Trenton, GA 30752-2012 | 2006-05-19 |
| Street Address |
11638 HIGHWAY 27 SUITE 8 |
| City | SUMMERVILLE |
| State | GA |
| Zip Code | 30747-8514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295905073 | Caron Medical Clinic, PC | Community Health Worker | 11638 Highway 27, Suite 8, Summerville, GA 30747-8514 | 2008-03-07 |
| 1255681367 | James Thomas Espy | Physical Therapist | 11638 Highway 27, Suite 1, Summerville, GA 30747-8514 | 2012-09-17 |
| 1770839938 | Rachel Galyon Trundle | Specialist/Technologist | 11638 Highway 27, Suite 1, Summerville, GA 30747-8514 | 2012-07-25 |
| 1346553385 | North Georgia Healthcare Summerville | Clinic/Center | 11638 Highway 27, #8, Summerville, GA 30747-8514 | 2010-07-20 |
| 1730333550 | Christina Lynn Broome | Physical Therapist | 11638 Highway 27, Ste 1, Summerville, GA 30747-8514 | 2008-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295162121 | Erin Marks Pledger | Counselor | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1124377700 | Vickie Darlene Hice | Occupational Therapist | 1079 Brooks Road, Summerville, GA 30747 | 2012-08-29 |
| 1033479340 | Magdana Philossaint | Social Worker | 9991 Commerce St., Summerville, GA 30747 | 2012-05-21 |
| 1265667828 | Christina Douglass | Family Medicine | 11766 Hwy 27 North, Summerville, GA 30747 | 2009-05-26 |
| 1922118199 | Melissa June Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1871920710 | Tyler Wayne Pledger | Behavioral Analyst | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1750506622 | Patrick A Parrino | Dentist | 19 Walnut Ave, Summerville, GA 30747 | 2007-04-16 |
| 1811007099 | Richard Dennis Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1942310107 | Richard Keith Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1336339076 | Summerville Chiropractic, Inc. | Chiropractor | 74 Highway 48, Summerville, GA 30747-0424 | 2007-07-30 |
| Find all providers in zip 30747 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1518454818 | Fetter Health Care Network, Inc. | Clinic/Center | 130 Varnfield Dr Ste 100, Summerville, SC 29483-7317 | 2018-04-23 |
| 1982718425 | Fetter Health Care Network Inc | Clinic/Center | 700 N Pine St, Summerville, SC 29483-6641 | 2006-08-19 |
| 1407394646 | New River Health Association, Inc. | Clinic/Center | 400 Fairview Heights Road, Suite 201, Summerville, WV 26651 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 30747 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.