PRIMARY MEDICAL CARE (NPI# 1861452492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861452492 |
| Entity Type | Organization |
| Organization Name | PRIMARY MEDICAL CARE |
| Practice Address |
1287 Hwy 138 Spur Suite #8 Jonesboro GA 30236 |
| Practice Telephone | 7704719990 |
| Practice Fax Number | 7704714290 |
| Mailing Telephone | 7704719990 |
| Mailing Fax Number | 7704714290 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LOUELINA M SOOD (MD) |
| Authorized Official Telephone | 7704719990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | O21592 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEPT OF LABOR | 1575820000 | 01 | |
| TRICARE | 279682172 | 01 | |
| RAILROAD MEDICARE | DA2480 | 01 | |
| GEORGIA BETTER HEALTH | 85001388G | 01 | |
| RAILROAD MEDICARE | P00039443 | 01 | |
| GA | 010052858 | 05 | |
| GA | 000368046D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861822793 | Primary Medical Care | Family Medicine | 270 Cornerstone Dr, Suite 105, Cary, NC 27519-8400 | 2013-11-13 |
| Street Address |
1287 HWY 138 SPUR SUITE #8 |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708641 | Premiere Family Practice | Family Medicine | 1904 Grant Ave Ste G, Jonesboro, AR 72401-6165 | 2020-10-22 |
| 1760003248 | New York Institute of Technology | Family Medicine | 333b Red Wolf Blvd, Jonesboro, AR 72405-9739 | 2020-05-06 |
| 1548814031 | H&h Wellness Clinic | Family Medicine | 7000 Tara Blvd Ste C, Jonesboro, GA 30236-1600 | 2019-08-01 |
| 1518466739 | Trinity Wellness Center, LLC. | Family Medicine | 9434 S Main St Ste 1100, Jonesboro, GA 30236-6092 | 2018-02-02 |
| 1003343864 | Men & Womens Premier Health Solutions Pa | Family Medicine | 3410 E Johnson Ave Ste T, Jonesboro, AR 72401-1876 | 2017-05-11 |
| 1891231403 | Stacy Wilbanks Md Plc | Family Medicine | 3100 Southern Hills Ln, Jonesboro, AR 72401-8048 | 2017-01-06 |
| 1992164750 | Doctors Health Group, Inc | Family Medicine | 3637b E Johnson Ave, Jonesboro, AR 72401-1808 | 2016-02-22 |
| 1245605278 | Family Physicians of Jonesboro | Family Medicine | 3104 Apache Dr, Jonesboro, AR 72401-7405 | 2015-12-02 |
| 1669856704 | Medical Rehab Group LLP | Family Medicine | 1201 Fleming, Jonesboro, AR 72401 | 2015-07-18 |
| 1487049953 | Ali Haydar | Family Medicine | 4909 E Johnson Ave, Jonesboro, AR 72401-8417 | 2015-04-01 |
| Find all providers in JONESBORO | ||||
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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.