Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Care of Southwest Georgia, Inc

Organization Family Medicine Physician · NPI 1780607754

Primary Care of Southwest Georgia, Inc is a Family Medicine Physician in Blakely, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

360 College St
Blakely, GA 39823
Phone: (229) 723-2660
Fax: (229) 723-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X · Licence 060068 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 057747 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN188412 (GA)

Record details

NPI number1780607754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edwin James — Chief Financial Officer · (229) 723-2660
NPI enumeratedJuly 25, 2006
Last updated in NPPESMay 15, 2014
Mailing address360 College Street, Blakely, GA 39823

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