SOUTH CENTRAL PRIMARY CARE- ASHLEY STREET
NPI 1467223818
Clinic/Center - Federally Qualified Health Center (FQHC) in Valdosta, GA

NPI Status: Active since January 15, 2024

Contact Information

2301 N ASHLEY ST
VALDOSTA, GA
ZIP 31602
Phone: (229) 468-9166

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About SOUTH CENTRAL PRIMARY CARE- ASHLEY STREET

This page provides the complete NPI Profile along with additional information for South Central Primary Care- Ashley Street, a primary care provider established in Valdosta, Georgia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1467223818 assigned on January 2024. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as South Central Primary Care- Ashley Street. The authorized official of this NPI record is Robert Bonds Tucker (Ceo)

NPI
1467223818
Provider Legal Name
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Other Organization Name
SOUTH CENTRAL PRIMARY CARE- ASHLEY STREET
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2301 N ASHLEY ST VALDOSTA, GA 31602
Location Phone
(229) 468-9166
Mailing Address
PO BOX 749 OCILLA, GA 31774
Mailing Phone
(229) 468-9166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2024
Last Update Date
11-20-2024
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A primary care provider (PCP) like South Central Primary Care- Ashley Street sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT BONDS TUCKER

Authorized Official Title
CEO
Authorized Official Phone
(229) 468-9166

Reviews for SOUTH CENTRAL PRIMARY CARE- ASHLEY STREET

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467223818
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412742682
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 4 + 2 + 6 + 8 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1467223818 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255390084DR. GUILLERMO R SAURINA
Individual
Internal Medicine (Infectious Disease)2301 N ASHLEY ST
VALDOSTA, GA 31602
(229) 245-0666
1235184524 MICHELLE M BREWER-EWING
Individual
Nurse Practitioner (Family)2301 N ASHLEY ST
VALDOSTA, GA 31602
(229) 245-1000
1295774396 SERENIA CARNEGIE
Individual
Nurse Practitioner (Adult Health)2301 N ASHLEY ST
VALDOSTA, GA 31602
(229) 245-1000
1457377731SOUTH GEORGIA CARDIOLOGY
Organization
Specialist2301 N ASHLEY ST
VALDOSTA, GA 31602
(229) 245-1000
1598304974SOUTHWELL AMBULATORY INC
Organization
Internal Medicine (Infectious Disease)2301 N ASHLEY ST
VALDOSTA, GA 31602
(229) 245-0666
1114755931SOUTH CENTRAL PRIMARY CARE CENTER, INC
Organization
Pharmacy2301 N ASHLEY ST
VALDOSTA, GA 31602
(229) 270-2403
1215079983MR. DAVID RAY JACKSON NP
Individual
Nurse Practitioner (Family)2301 N ASHLEY ST
VALDOSTA, GA 31602
(229) 270-2403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467223818, enumerated in the NPI registry as an "organization" on January 15, 2024

The provider is located at 2301 N Ashley St Valdosta, Ga 31602 and the phone number is (229) 468-9166

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

This NPI record was last updated on January 15, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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