CARTERSVILLE URGENT CARE LLC (NPI# 1316986227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316986227 |
| Entity Type | Organization |
| Organization Name | CARTERSVILLE URGENT CARE LLC |
| Practice Address |
824 West Ave Cartersville GA 30120-6100 |
| Practice Telephone | 6787215570 |
| Mailing Telephone | 6787215570 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | JEFF RYDBURG (VP) |
| Authorized Official Telephone | 6153737600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 823710629A | 05 | |
| GA | BCBS OF GA | 52230467001 | 01 |
| SC | MEDICARE DME | 5837030001 | 01 |
| Street Address |
824 WEST AVE |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259545 | West End Rx | Pharmacy | 824 West Ave, Cartersville, GA 30120-6100 | 2019-01-28 |
| 1861717068 | West End Rx | Pharmacy | 824 West Ave, Cartersville, GA 30120-6100 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336301043 | Mark Alfred William Paun | Emergency Medicine | 1328 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-4221 | 2008-06-25 |
| 1255590493 | Amy M Hess | Emergency Medicine | 84 Lake Haven Dr, Cartersville, GA 30120-8469 | 2008-06-03 |
| 1811096894 | Lori Kuczmanski | Emergency Medicine | 60 Joe Frank Harris Parkway, Cartersville, GA 30120-9001 | 2006-09-22 |
| 1346295995 | Cartersville Emergency Physicians, LLC | Emergency Medicine | 960 Joe Frank Harris Parkway, Cartersville, GA 30120 | 2006-05-23 |
| 1730598590 | Mount Lassen Emergency Physicians LLC | Emergency Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2014-08-06 |
| 1649684549 | Joel Stephan Hoyte | Emergency Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2014-06-18 |
| 1407133622 | Georgia Em-i Medical Service Services PC | Emergency Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2011-11-16 |
| 1164709937 | Trail Crossing Emergency Physicians LLC | Emergency Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2011-11-08 |
| 1215041496 | Jason E Conley | Emergency Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on CARTERSVILLE URGENT CARE 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.