MEDICARE: PRIMARY HEALTH CARE CENTER OF DADE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255512182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY HEALTH CARE CENTER OF DADE, INC.

Provider Business Mailing Address
First Line	:	13570 N MAIN ST
Second Line	:
City	:	TRENTON
State	:	GA
Zip	:	30752-2012
Country	:	US
Telephone Number	:	706-657-7575
Fax Number	:	706-657-5885

Provider Business Practice Location Address
First Line	:	2009 OLD LAFAYETTE RD
Second Line	:
City	:	FORT OGLETHORPE
State	:	GA
Zip	:	30742-3510
Country	:	US
Telephone Number	:	706-866-5520
Fax Number	:	706-866-5502

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	MRS. AMY L BUFFINGTON
Credential	:
Telephone Number	:	706-956-2665

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	09/22/2022

Similar Medicare Providers

1982819595 — METRO TREATMENT OF GEORGIA, LP
Practice Location Address:

2007 OLD LAFAYETTE RD
FORT OGLETHORPE, GA
30742-3510

Practice Phone: 706-861-9390
Practice Fax: 407-351-6930

1144292798 — DR. WILLIAM L HORTON DO
Practice Location Address:

2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA
30742-3510

Practice Phone: 706-866-5520
Practice Fax: 706-657-2958

1467499095 — ANNA M CLINE CNM
Practice Location Address:

2009 OLD LAFAYETTE RD
FT OGLETHORPE, GA
30742-3510

Practice Phone: 706-861-5950
Practice Fax: 706-858-0475

1164465597 — THOMAS DARRELL WELDON M.D.
Practice Location Address:

2009 OLD LAFAYETTE RD
FT OGLETHORPE, GA
30742-3510

Practice Phone: 706-861-5950
Practice Fax: 706-858-0475

1770770679 — CHATTANOOGA WOMEN'S SPECIALISTS PC
Practice Location Address:

2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA
30742-3510

Practice Phone: 706-861-5950
Practice Fax: 706-858-0475

1568886927 — DR. AILEEN JOANNA GUERRERO LITWIN D.O.
Practice Location Address:

2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA
30742-3510

Practice Phone: 706-866-5520
Practice Fax: 706-657-2958

Directions to “PRIMARY HEALTH CARE CENTER OF DADE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.