PHYSCIANS IMMEDIATE MED OF CANTON, PC (NPI# 1013053115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013053115 |
| Entity Type | Organization |
| Organization Name | PHYSCIANS IMMEDIATE MED OF CANTON, PC |
| Practice Address |
720 Transit Ave Ste 101 Canton GA 30114-2571 |
| Practice Telephone | 7707207000 |
| Practice Fax Number | 7707207055 |
| Mailing Telephone | 7707207000 |
| Mailing Fax Number | 7707207055 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES R COOLEY (OWNER) |
| Authorized Official Telephone | 7707207000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
035839 | GA | Ambulatory Health Care Facilities |
| Street Address |
720 TRANSIT AVE STE 101 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972114502 | Kimberley Beasley Weatherford | Nurse Practitioner | 720 Transit Ave Ste 101, Canton, GA 30114-2544 | 2020-08-17 |
| 1124160908 | Christopher B Anderson | Family Medicine | 720 Transit Ave Ste 101, Canton, GA 30114-2571 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013468461 | Nuch of Michigan, Inc. | Clinic/Center | 43767 Ford Road, Canton, MI 48187-3185 | 2016-10-20 |
| 1447727292 | American Current Care of Ohio Pa Co | Clinic/Center | 4449 Whipple Ave Nw, Canton, OH 44718-2645 | 2018-10-30 |
| 1346787090 | Partners Urgent Care, LLC | Clinic/Center | 95 Washington St, Canton, MA 02021-4006 | 2017-01-19 |
| 1649712480 | Canton Urgent Care Walk-in Clinic PC | Clinic/Center | 43033 Ford Rd, Canton, MI 48187-3375 | 2016-11-10 |
| 1467864801 | Wrj & Associates Pllc | Clinic/Center | 44237 Michigan Ave, Canton, MI 48188-2584 | 2014-05-20 |
| 1780819573 | Cherry Hill Urgent Care Md PC | Clinic/Center | 42484 Cherry Hill Rd, Canton, MI 48187-3401 | 2009-05-21 |
| 1649425471 | Choice Urgent Care of Michigan P.c | Clinic/Center | 41750 Michigan Ave, Suite B, Canton, MI 48188-2679 | 2008-11-20 |
| 1740448372 | Physicians Family Medicine of Canton, LLC | Clinic/Center | 720 Transit Ave, Ste 101, Canton, GA 30114-2571 | 2008-05-30 |
| 1801068788 | Choice Urgent Care of Michigan, PC | Clinic/Center | 41750 Michigan Ave, Canton, MI 48188-2679 | 2008-03-31 |
| 1669654208 | Western Wayne Urgent Care PC | Clinic/Center | 2050 N Haggerty Rd, Suite 140, Canton, MI 48187-3795 | 2007-12-05 |
| Find all providers in CANTON | ||||
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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.