Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Primary Care of Southwest Georgia, Inc

Organization Family Medicine Physician · NPI 1780607754

Primary Care of Southwest Georgia, Inc provides Family Medicine Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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