Southern Primary Care, LLC - Medicare Primary Care in Macon, GA

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Southern Primary Care, LLC is a medicare enrolled primary clinic (Internal Medicine) in Macon, Georgia. The current practice location for Southern Primary Care, LLC is 197 Bass Rd, Macon, Georgia. For appointments, you can reach them via phone at (478) 365-2164. The mailing address for Southern Primary Care, LLC is 197 Bass Rd, Macon, Georgia.

Southern Primary Care, LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1225551328. 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 (478) 365-2164.

Contact Information

Southern Primary Care, LLC
197 Bass Rd
Macon
GA 31210-2060
(478) 365-2164
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSouthern Primary Care, LLC
SpecialityInternal Medicine
Location197 Bass Rd, Macon, Georgia
Authorized Official Name and PositionJayesh D Patel (BUSINESS OWNER)
Authorized Official Contact4783652164
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Primary Care, LLC
197 Bass Rd
Macon
GA 31210-2060
Southern Primary Care, LLC
197 Bass Rd
Macon
GA 31210-2060

Ph: (478) 365-2164

NPI Details:

NPI Number1225551328
Provider Enumeration Date07/20/2017
Last Update Date01/21/2024
Certification Date01/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3173897196
Medicare Enrollment IDO20170914001778

Medical Identifiers

Medical identifiers for Southern Primary Care, LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225551328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary
207RA0201XInternal Medicine - Allergy & Immunology ()Secondary
261QP2300XClinic/center - Primary Care ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Primary Care, LLC acts as a billing entity for following providers:
Provider NameCynthia Blair Chambless
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063577500
PECOS PAC ID: 3779573027
Enrollment ID: I20040517001540
Provider NameOnwura Michael Obiekwe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972585446
PECOS PAC ID: 1355320185
Enrollment ID: I20040716000281
Provider NameMichele a Sewell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649205642
PECOS PAC ID: 0547207193
Enrollment ID: I20050414000648
Provider NameCornell Peters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861487225
PECOS PAC ID: 1557492758
Enrollment ID: I20100702000437
Provider NameJayesh D Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548385966
PECOS PAC ID: 3678757929
Enrollment ID: I20110411000489
Provider NameDouglas Ray White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568683506
PECOS PAC ID: 1658516661
Enrollment ID: I20130322000120
Provider NameJoshua Shane Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295086999
PECOS PAC ID: 3476795964
Enrollment ID: I20130813000442
Provider NameSharon Rouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740736602
PECOS PAC ID: 9234426420
Enrollment ID: I20161003002239
Provider NameJanet Findlay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912443466
PECOS PAC ID: 3476837469
Enrollment ID: I20170313001436
Provider NameCrystal Bales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417481516
PECOS PAC ID: 8426328592
Enrollment ID: I20170721002374
Provider NameDipenkumar Rameshchandra Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124407499
PECOS PAC ID: 2860701216
Enrollment ID: I20181009000715
Provider NameDanielle Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396398053
PECOS PAC ID: 3779916598
Enrollment ID: I20191210001220
Provider NameTracy Tarvers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093315848
PECOS PAC ID: 3577957588
Enrollment ID: I20220308000587
Provider NameTonya Ann Burgamy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275274185
PECOS PAC ID: 3274912530
Enrollment ID: I20220617000394
Provider NameLindsey Marie Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992436604
PECOS PAC ID: 4688056377
Enrollment ID: I20220727002595
Provider NameBeverly Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023548591
PECOS PAC ID: 6305220088
Enrollment ID: I20220830000336
Provider NameJoanna Peterson Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639805765
PECOS PAC ID: 3173908738
Enrollment ID: I20220916003084
Provider NameRasmine Brown
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1528728946
PECOS PAC ID: 0042681447
Enrollment ID: I20230123001702
Provider NameAmy Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023350618
PECOS PAC ID: 7012219397
Enrollment ID: I20230508000592
Provider NameFoyinsola Amoye
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598383176
PECOS PAC ID: 7214334887
Enrollment ID: I20240723000347
Provider NameJudith Ann Burroughs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962120196
PECOS PAC ID: 7810433901
Enrollment ID: I20240725000788
Provider NameSonali Patel
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1396560934
PECOS PAC ID: 4587188438
Enrollment ID: I20250411002934

Reviews and Comments

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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.