Prime Care of Georgia LLC
NPI 1114591096 · Internal Medicine Physician · Pooler, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Care of Georgia LLC is a Internal Medicine Physician organization in Pooler, GA (NPI 1114591096).
Provider details
- NPI number
- 1114591096
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shital Patel, Provider(912) 561-7001
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Registry dates
- Enumerated
- 2021-05-17
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Frequently asked questions
- What is Prime Care of Georgia LLC's NPI number?
- Prime Care of Georgia LLC's National Provider Identifier (NPI) is 1114591096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Care of Georgia LLC?
- Prime Care of Georgia LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Care of Georgia LLC located?
- Prime Care of Georgia LLC's practice location on file with NPPES is 1000 Towne Center Blvd Ste 604, Pooler, GA 31322-4070.
- What is Prime Care of Georgia LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Care of Georgia LLC is (912) 561-7001.
- Does Prime Care of Georgia LLC accept Medicare?
- Prime Care of Georgia LLC 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 Prime Care of Georgia LLC?
- The authorized official listed on Prime Care of Georgia LLC's NPPES record is Shital Patel, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Care of Georgia LLC's NPI active?
- Yes — Prime Care of Georgia LLC's NPI (1114591096) is active in the NPPES registry as of the last update on 2022-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.