Mcdonough Primary Care Inc
NPI 1710058953 · Family Medicine Physician · Mcdonough, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mcdonough Primary Care Inc is a Family Medicine Physician organization in Mcdonough, GA (NPI 1710058953).
Provider details
- NPI number
- 1710058953
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Van Laar, Owner(770) 914-0342
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
Other names (DBA / former)
- Other name
- Keys Ferry Medical Center
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2007-11-09
Frequently asked questions
- What is Mcdonough Primary Care Inc's NPI number?
- Mcdonough Primary Care Inc's National Provider Identifier (NPI) is 1710058953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mcdonough Primary Care Inc?
- Mcdonough Primary Care Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mcdonough Primary Care Inc located?
- Mcdonough Primary Care Inc's practice location on file with NPPES is 68 Hampton St, Mcdonough, GA 30253-3150.
- What is Mcdonough Primary Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Mcdonough Primary Care Inc is (770) 914-0342.
- Does Mcdonough Primary Care Inc accept Medicare?
- Mcdonough Primary Care 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 Mcdonough Primary Care Inc?
- The authorized official listed on Mcdonough Primary Care Inc's NPPES record is William Van Laar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mcdonough Primary Care Inc's NPI active?
- Yes — Mcdonough Primary Care Inc's NPI (1710058953) is active in the NPPES registry as of the last update on 2007-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.