SOUTH ATLANTA URGENT CARE CLINIC LLC (NPI# 1053767376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053767376 |
| Entity Type | Organization |
| Organization Name | SOUTH ATLANTA URGENT CARE CLINIC LLC |
| Practice Address |
5185 Old National Hwy Atlanta GA 30349-3244 |
| Practice Telephone | 6097035097 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | MATTHEW LEGOWSKI (OPERATIONS) |
| Authorized Official Telephone | 6097035097 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 055916 | GA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548363 | South Atlanta Urgent Care Clinic LLC | Clinic/Center | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2010-05-12 |
| Street Address |
5185 OLD NATIONAL HWY |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349-3244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962981126 | Kailyn Slack | Registered Nurse | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2018-08-08 |
| 1194278622 | Nikole S Flowers | Registered Nurse | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2016-08-02 |
| 1265810352 | Swift Health Care Group LLC | Internal Medicine | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2015-05-11 |
| 1194124479 | Metro Atlanta Injury Wellness Ga | Chiropractor | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2014-08-22 |
| 1922449149 | Tanisha Hooker | Nurse Practitioner | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2013-07-16 |
| 1184964025 | Caroline Musa | Nurse Practitioner | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2013-02-28 |
| 1376829028 | Old National Primary Care Clinic, LLC | Internal Medicine | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2011-10-26 |
| 1972805133 | Bridget Randolph | Nurse Practitioner | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2010-11-21 |
| 1144548363 | South Atlanta Urgent Care Clinic LLC | Clinic/Center | 5185 Old National Hwy, Atlanta, GA 30349-3244 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225686991 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1819 Peachtree Rd Ne Ste 103, Atlanta, GA 30309-1848 | 2019-08-27 |
| 1124532916 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 3617 Roswell Rd Ne Ste A, Atlanta, GA 30305-1111 | 2017-12-01 |
| 1760876858 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 2295 Parklake Dr., Ste. 150, Atlanta, GA 30345-2825 | 2015-03-26 |
| 1134539901 | Physicians Care Center of Atlanta | Non-Pharmacy Dispensing Site | 285 Boulevard Ne Ste 435, Atlanta, GA 30312-4213 | 2014-05-02 |
| 1386054088 | Physicians Care Center of Atlanta | Non-Pharmacy Dispensing Site | 315 Boulevard Ne Ste 200, Atlanta, GA 30312-1220 | 2014-05-02 |
| 1063833267 | Id Group of Atlanta | Non-Pharmacy Dispensing Site | 735 Piedmont Avenue, Ne, Atlanta, GA 30308 | 2013-12-16 |
| 1225473564 | Jencare Neighborhood Medical Center Druid Hills, LLC | Non-Pharmacy Dispensing Site | 3371 Buford Hwy Ne, Atlanta, GA 30329-1709 | 2013-04-30 |
| 1366783524 | Jencare Neighborhood Medical Center West End, LLC | Non-Pharmacy Dispensing Site | 1325 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1649 | 2013-03-12 |
| 1720579188 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 2700 Clairmont Rd Ne, Atlanta, GA 30329-2713 | 2018-05-22 |
| 1295249084 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 2292 Peachtree Rd Nw, Atlanta, GA 30309-1147 | 2017-12-01 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on SOUTH ATLANTA URGENT CARE CLINIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.