OrganizationPrikare PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2350 Limestone Pkwy, Gainesville, GA 30501-2013(770) 539-9600PECOS EnrollmentBased on the most recent information from CMS, provider Prikare Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1528407608Provider TypeOrganizationFull NamePrikare PcSubpartNoEnumeration Date6/21/2013Last Updated5/15/2014Contact InformationPractice LocationPractice Address2350 Limestone Pkwy, Gainesville, GA 30501-2013Phone(770) 539-9600Fax(770) 539-9605Mailing LocationMailing Address2350 Limestone Pkwy, Gainesville, GA 30501-2013Phone(770) 539-9600Fax(770) 539-9605Authorized OfficialNameFogarty, Kenneth Willoughby (Owner)Phone(770) 539-9600Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense041118Georgia