PRIMARY HEALTH CARE CENTER OF DADE, INC. (NPI# 1952723298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952723298 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
| Practice Address |
118 E Girard Ave Cedartown GA 30125-2778 |
| Mailing Address |
13570 N Main St Trenton GA 30752-2012 |
| Practice Telephone | 7068668820 |
| Practice Fax Number | 7068665502 |
| Mailing Telephone | 7066577575 |
| Mailing Fax Number | 7066572958 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-04-07 |
| Authorized Official Name | DIANA U ALLEN (CEO) |
| Authorized Official Telephone | 7069968251 |
| 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 |
| 1457770612 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 11638 Highway 27, Suite 8, Summerville, GA 30747-8514 | 2014-04-15 |
| 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 |
118 E GIRARD AVE |
| City | CEDARTOWN |
| State | GA |
| Zip Code | 30125-2778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962491381 | Redmond Physician Practice Company | Internal Medicine | 118 E Girard Ave, Suite 104, Cedartown, GA 30125-2778 | 2005-10-18 |
| 1790240208 | Adina Lupas | Dentist | 118 E Girard Ave, Cedartown, GA 30125-2712 | 2019-02-08 |
| 1508331505 | Johnna S Abbasi | Nurse Practitioner | 118 E Girard Ave, Cedartown, GA 30125-2712 | 2018-10-05 |
| 1386120889 | Stacy M Hendrix | Nurse Practitioner | 118 E Girard Ave, Cedartown, GA 30125-2712 | 2018-07-17 |
| 1063863272 | Jessica L Montgomery | Dentist | 118 E Girard Ave, Cedartown, GA 30125-2712 | 2016-06-29 |
| 1639407893 | Karen M Hellriegel | Nurse Practitioner | 118 E Girard Ave, Cedartown, GA 30125-2778 | 2009-11-30 |
| 1487633913 | Carla Sue Mcfarland | Nurse Practitioner | 118 E Girard Ave, Cedartown, GA 30125-2778 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
| 1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
| 1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1972760197 | Jerry Octave Weaver | Community Health Worker | 215 Fair Oaks Rd, Cedartown, GA 30125-2011 | 2008-05-16 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1639606049 | Kayla Benton | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2017-05-16 |
| Find all providers in zip 30125 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| 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 | ||||
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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.