South Central Primary Care Center, Inc. - Medicare Primary Care in Ocilla, GA

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South Central Primary Care Center, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ocilla, Georgia. The current practice location for South Central Primary Care Center, Inc. is 204 E 4th St, Ocilla, Georgia. For appointments, you can reach them via phone at (229) 468-9166. The mailing address for South Central Primary Care Center, Inc. is Po Box 749, Ocilla, Georgia and phone number is (229) 468-9166.

South Central Primary Care Center, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891978854. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (229) 468-9166.

Contact Information

South Central Primary Care Center, Inc.
204 E 4th St
Ocilla
GA 31774-1539
(229) 468-9166
(229) 468-9188

Map and Direction


Primary Care Clinic Profile

Full NameSouth Central Primary Care Center, Inc.
SpecialityClinic/Center
Location204 E 4th St, Ocilla, Georgia
Authorized Official Name and PositionR B Tucker (CFO)
Authorized Official Contact2294689160
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
South Central Primary Care Center, Inc.
Po Box 749
Ocilla
GA 31774-0749

Ph: (229) 468-9166		South Central Primary Care Center, Inc.
204 E 4th St
Ocilla
GA 31774-1539

Ph: (229) 468-9166

NPI Details:

NPI Number1891978854
Provider Enumeration Date12/13/2007
Last Update Date08/11/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1951395920
Medicare Enrollment IDO20040413000249

Medical Identifiers

Medical identifiers for South Central Primary Care Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891978854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. South Central Primary Care Center, Inc. acts as a billing entity for following providers:
Provider NamePatricia F Patterson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629066915
PECOS PAC ID: 2062303415
Enrollment ID: I20040324000030
Provider NameTobi A Okafo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1255383246
PECOS PAC ID: 3870596976
Enrollment ID: I20060810000113
Provider NameShirlene D Royal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154545077
PECOS PAC ID: 6901935394
Enrollment ID: I20100524000249
Provider NameKaruna Dyapa Reddy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396748984
PECOS PAC ID: 8820262439
Enrollment ID: I20111116000899
Provider NameAmanda Merritt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760862346
PECOS PAC ID: 8527373216
Enrollment ID: I20150810001428
Provider NameKayla Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255784955
PECOS PAC ID: 7113212242
Enrollment ID: I20160829000355
Provider NameBetty A Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326583360
PECOS PAC ID: 3678850138
Enrollment ID: I20170510001747
Provider NameChinmay Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366859233
PECOS PAC ID: 4284994476
Enrollment ID: I20180208000693
Provider NameKaren M Manac
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508375932
PECOS PAC ID: 7911330659
Enrollment ID: I20191210002347
Provider NameJoshua Caleb Vining
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487260949
PECOS PAC ID: 7719397496
Enrollment ID: I20201109001610
Provider NameShondra Shantel Holmes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649808296
PECOS PAC ID: 4082027966
Enrollment ID: I20210114000717
Provider NameJeffery Todd Stringer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629652201
PECOS PAC ID: 8022417773
Enrollment ID: I20210528001493
Provider NameSandra Sheffield
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801391628
PECOS PAC ID: 1658620596
Enrollment ID: I20210921001526
Provider NameBobby Jean Musgrove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710539911
PECOS PAC ID: 7214326776
Enrollment ID: I20211123000417
Provider NameMaebry Paulk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083386650
PECOS PAC ID: 8820488059
Enrollment ID: I20211202001715
Provider NameCarolyn Eaves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700425758
PECOS PAC ID: 5890190938
Enrollment ID: I20220228001526
Provider NameSamara Acosta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205553112
PECOS PAC ID: 6305217092
Enrollment ID: I20230117000310
Provider NameHayden Nelms
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1932651270
PECOS PAC ID: 1658714605
Enrollment ID: I20240207001786

Reviews and Comments


Clinic/Center in Ocilla, GA

Irwin Pediatrics
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Cherry St, Ocilla, GA 31774
Phone: 229-468-5020    Fax: 229-468-5024
Irwin Specialty Centers Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 710 N Irwin Ave, Ocilla, GA 31774
Phone: 229-468-3800    
Irwin Family Medicine
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 361 Cargile Rd, Ocilla, GA 31774
Phone: 229-468-3975    
South Central Family Health Care
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 607c N Irwin Ave, Ocilla, GA 31774
Phone: 229-468-5020    Fax: 229-468-5024
Irwin Family Medicine
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 361 Cargile Rd, Ocilla, GA 31774
Phone: 229-468-3975    
South Central Primary Care Center, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 149 Chieftain Cir, Ocilla, GA 31774
Phone: 229-468-9166    Fax: 229-468-9188
Irwin County Hospital Authority
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 710 N Irwin Ave, Ocilla, GA 31774
Phone: 229-468-3800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.