South Central Primary Care Center, Inc
NPI 1063840296 · Federally Qualified Health Center (FQHC) · Douglas, GA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Central Primary Care Center, Inc is a Federally Qualified Health Center (FQHC) organization in Douglas, GA (NPI 1063840296).
Provider details
- NPI number
- 1063840296
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Tucker, Ceo(229) 468-9166
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kids Health
- Doing business as
- South Central Primary Care
Registry dates
- Enumerated
- 2013-10-25
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Frequently asked questions
- What is South Central Primary Care Center, Inc's NPI number?
- South Central Primary Care Center, Inc's National Provider Identifier (NPI) is 1063840296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Central Primary Care Center, Inc?
- South Central Primary Care Center, Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is South Central Primary Care Center, Inc located?
- South Central Primary Care Center, Inc's practice location on file with NPPES is 303 Shirley Ave, Douglas, GA 31533.
- What is South Central Primary Care Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for South Central Primary Care Center, Inc is (912) 384-2474.
- Does South Central Primary Care Center, Inc accept Medicare?
- South Central Primary Care Center, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Central Primary Care Center, Inc?
- The authorized official listed on South Central Primary Care Center, Inc's NPPES record is Robert Tucker, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Central Primary Care Center, Inc's NPI active?
- Yes — South Central Primary Care Center, Inc's NPI (1063840296) is active in the NPPES registry as of the last update on 2025-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.