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

Southern Primary Care, LLC

Organization Internal Medicine Physician · NPI 1225551328

Southern Primary Care, LLC is an Internal Medicine Physician in Macon, Georgia. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

197 Bass Rd
Macon, GA 31210-2060
Phone: (478) 365-2164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1225551328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayesh Patel — Business Owner · (478) 365-2164
NPI enumeratedJuly 20, 2017
Last updated in NPPESJanuary 21, 2024
Certification dateJanuary 21, 2024
Mailing address197 Bass Rd, Macon, GA 31210-2060

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