PORT CITY URGENT CARE L.L.C. (NPI# 1306070875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306070875 |
| Entity Type | Organization |
| Organization Name | PORT CITY URGENT CARE L.L.C. |
| Practice Address |
502 Wheat Ave Bainbridge GA 39819-4325 |
| Practice Telephone | 2292431045 |
| Practice Fax Number | 2292431046 |
| Mailing Telephone | 2292431045 |
| Mailing Fax Number | 2292431046 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-06-19 |
| Authorized Official Name | JAMES C. HIGGINBOTHAM (OWNER) |
| Authorized Official Telephone | 2292431045 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
028786 | GA | Ambulatory Health Care Facilities |
| Street Address |
502 WHEAT AVE |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467624056 | Port City Family Medicine, L.L.C. | Family Medicine | 502 Wheat Ave, Bainbridge, GA 39819-4325 | 2008-03-24 |
| 1306467949 | Kathryn Mabry Harrell | Speech-Language Pathologist | 502 Wheat Ave, Bainbridge, GA 39819-4325 | 2020-05-06 |
| 1952830655 | Dawn M Gray | Speech-Language Pathologist | 502 Wheat Ave, Bainbridge, GA 39819-4325 | 2017-06-06 |
| 1669802294 | Amanda Mcnease | Speech-Language Pathologist | 502 Wheat Ave, Bainbridge, GA 39819-4325 | 2013-11-18 |
| 1700226024 | Speech Therapy Services, P. C. | Speech-Language Pathologist | 502 Wheat Ave, Bainbridge, GA 39819-4325 | 2013-07-01 |
| 1588900476 | Therapy Associates of Georgia, P. C. | Speech-Language Pathologist | 502 Wheat Ave, Bainbridge, GA 39819-4325 | 2012-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173906 | Rural Urgent Care LLC | Clinic/Center | 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819-7791 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1699388231 | Reagan Medical Center | Clinic/Center | 426 Exchange Blvd Ste 500, Bethlehem, GA 30620-1797 | 2020-08-24 |
| 1982214888 | Emergent Testing LLC | Clinic/Center | 2566 Shallowford Rd Ne Ste 204, Atlanta, GA 30345-1249 | 2020-08-05 |
| 1154931541 | The Urgent Care Center of Richmond Hill, LLC | Clinic/Center | 818 Abercorn St, Savannah, GA 31401-5933 | 2020-07-31 |
| 1346858255 | Castellum Medical Consultants LLC | Clinic/Center | 1618 Mars Hill Rd Ste A, Watkinsville, GA 30677-4847 | 2020-07-16 |
| 1861010423 | Rural Urgent Care LLC | Clinic/Center | 440 Us Highway 84 E, Cairo, GA 39828-1647 | 2020-07-10 |
| 1013535657 | Statesboro Medical Group, LLC | Clinic/Center | 1176 Brampton Ave, Statesboro, GA 30458-0847 | 2020-07-09 |
| 1083249114 | Medlife Urgent Care LLC | Clinic/Center | 345 Huntington Place Ct Ste 200, Mcdonough, GA 30253-8651 | 2020-03-09 |
| 1942846100 | Pickens Urgent Care LLC | Clinic/Center | 744 Noah Dr Ste 108-109, Jasper, GA 30143-8705 | 2019-11-22 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
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| 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.