PRIME CARE MEDICAL CENTER LLC
NPI 1821436155
Clinic/Center - Primary Care in Tuskegee, AL

NPI Status: Active since June 09, 2013

Contact Information

203 W LEE ST
TUSKEGEE, AL
ZIP 36083
Phone: (334) 663-3587
Fax: (334) 821-6287

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 01D2060405
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-10-2027

About PRIME CARE MEDICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Prime Care Medical Center Llc, a primary care provider established in Tuskegee, Alabama operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1821436155 assigned on June 2013. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Fazle Matin Md (Director)

NPI
1821436155
Provider Name
PRIME CARE MEDICAL CENTER LLC
Entity Type
Organization
Location Address
203 W LEE ST TUSKEGEE, AL 36083
Location Phone
(334) 663-3587
Location Fax
(334) 821-6287
Mailing Address
2220 MT VERNON LN AUBURN, AL 36830
Mailing Phone
(334) 821-6287
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2013
Last Update Date
06-09-2013
Code Navigator

A primary care provider (PCP) like Prime Care Medical Center Llc 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 Primary Care

Taxonomy Code
261QP2300X
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

FAZLE MATIN MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(334) 663-3587

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2060405
Facility Type
Physician Office
Certificate Effective Date
June 11, 2025
Certificate Expiration Date
June 10, 2027
Laboratory Director
DR. FAZLE MATIN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prime Care Medical Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRIME CARE MEDICAL CENTER LLC

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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.
1821436155
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28418312110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 8 + 3 + 1 + 2 + 1 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1821436155 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497933980 GLENDA L SMITH CRNP
Individual
Nurse Practitioner (Pediatrics)203 W LEE ST
TUSKEGEE, AL 36083
(334) 727-7050
1255504825MS. LAKEISHA ASHANTI-JOANNA KING CRNP
Individual
Nurse Practitioner (Family)203 W LEE ST
TUSKEGEE, AL 36083
(334) 727-7050
1518101161TUSKEGEE UNIVERSITY STUDENT CLINIC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))203 W LEE ST TUSKEGEE UNIVERSITY CAMPUS
TUSKEGEE, AL 36083
(334) 727-7050
1750607339CENTRAL ALABAMA COMPREHENSIVE HEALTH INCORPORATED
Organization
Pharmacy (Community/Retail Pharmacy)203 W LEE ST
TUSKEGEE, AL 36083
(334) 727-7636
1497197644OMEGA DRUGS,LLC
Organization
Pharmacy (Community/Retail Pharmacy)203 W LEE ST
TUSKEGEE, AL 36083
(334) 727-7636
1780736959NELMS, LLC
Organization
Pharmacist203 W LEE ST
TUSKEGEE, AL 36083
(334) 727-2150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821436155, enumerated in the NPI registry as an "organization" on June 09, 2013

The provider is located at 203 W Lee St Tuskegee, Al 36083 and the phone number is (334) 663-3587

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 01D2060405 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 09, 2013. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.