PREMIER IMMEDIATE CARE OF GEORGIA, PC (NPI# 1356472914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356472914 |
| Entity Type | Organization |
| Organization Name | PREMIER IMMEDIATE CARE OF GEORGIA, PC |
| Other Organization Name | PREMIER IMMEDIATE CARE |
| Practice Address |
289 Grayson Hwy Lawrenceville GA 30046-5726 |
| Mailing Address |
Po Box 8581 Belfast ME 04915-8581 |
| Practice Telephone | 6783761300 |
| Practice Fax Number | 6784071469 |
| Mailing Telephone | 6783761300 |
| Mailing Fax Number | 6784071469 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | PHILIP NORTON HENDERSON (PRESIDENT) |
| Authorized Official Telephone | 6783761300 |
| Authorized Official Credential | MD, MPH, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
047601 | GA | Ambulatory Health Care Facilities |
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
047601 | GA | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
047601 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Immediate Care | Doing Business As Name - Organization |
| Street Address |
289 GRAYSON HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1518438555 | Zenia 2 LLC, Dba Brite Life Primary Care | Clinic/Center | 930 New Hope Rd Ste 10, Lawrenceville, GA 30045-3837 | 2018-12-17 |
| 1699131888 | Zenia 2 LLC, Dba Sugarloaf Primary Care | Clinic/Center | 4835 Sugarloaf Pkwy Suite 300, Lawrenceville, GA 30044 | 2016-01-05 |
| 1548517253 | Alpha Medical Clinic | Clinic/Center | 5 Hurricane Shoals Rd Ne Ste A, Lawrenceville, GA 30046-4583 | 2012-08-13 |
| 1417238106 | Concentra Primary Care Pa | Clinic/Center | 3330 Sugarloaf Parkway, Suite Ol1d, Lawrenceville, GA 30044 | 2011-09-08 |
| 1417504028 | Ballard Chiropractic & Associates LLC | Clinic/Center | 1715 Buford Dr, Lawrenceville, GA 30043-3213 | 2019-08-20 |
| 1487120820 | Comprehensive Primary Care LLC | Clinic/Center | 761 Walther Road, Suite 200, Lawrenceville, GA 30046 | 2018-10-23 |
| 1811422322 | Hillandale Primary Care | Clinic/Center | 1950 Riverside Pkwy, Suite # 100, Lawrenceville, GA 30043-5918 | 2017-04-23 |
| 1588022438 | Gwinnett Family Medicine and Geriatrics | Clinic/Center | 706 Grayson Hwy, Suite 215, Lawrenceville, GA 30046-5736 | 2016-02-08 |
| 1407220775 | Eugene Medical Clinic | Clinic/Center | 248 E Crogan St Ste 2, Lawrenceville, GA 30046-5069 | 2015-11-24 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on PREMIER IMMEDIATE CARE OF GEORGIA, PC.
| 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.