Prince Avenue Primary Care, L.L.C.
NPI 1386676211 · Family Medicine Physician · Athens, GA
Prince Avenue Primary Care, L.L.C. is a Family Medicine Physician organization in Athens, GA (NPI 1386676211).
Provider details
- NPI number
- 1386676211
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Gibson, Ceo(706) 227-2027
- License
- 015584 (GA)
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
19 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
- 2006-07-07
- Last updated
- 2009-12-28
Frequently asked questions
- What is Prince Avenue Primary Care, L.L.C.'s NPI number?
- Prince Avenue Primary Care, L.L.C.'s National Provider Identifier (NPI) is 1386676211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prince Avenue Primary Care, L.L.C.?
- Prince Avenue Primary Care, L.L.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prince Avenue Primary Care, L.L.C. located?
- Prince Avenue Primary Care, L.L.C.'s practice location on file with NPPES is 892 Prince Ave, Athens, GA 30606-2724.
- What is Prince Avenue Primary Care, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Prince Avenue Primary Care, L.L.C. is (706) 227-2027.
- Who is the authorized official for Prince Avenue Primary Care, L.L.C.?
- The authorized official listed on Prince Avenue Primary Care, L.L.C.'s NPPES record is Timothy Gibson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prince Avenue Primary Care, L.L.C.'s NPI active?
- Yes — Prince Avenue Primary Care, L.L.C.'s NPI (1386676211) is active in the NPPES registry as of the last update on 2009-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.