US MEDCLINIC LLC (NPI# 1417316159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417316159 |
| Entity Type | Organization |
| Organization Name | US MEDCLINIC LLC |
| Practice Address |
714 Cedar St Carrollton GA 30117-2415 |
| Practice Telephone | 6789741240 |
| Mailing Telephone | 6789741240 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | DR. BRENT A HARRIS (OWNER) |
| Authorized Official Telephone | 6789741240 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
714 CEDAR ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508027467 | Brent Arthur Harris | Family Medicine | 714 Cedar St, Carrollton, GA 30117-2415 | 2008-06-23 |
| 1407314370 | Kory Zachery | Physician Assistant | 714 Cedar St, Carrollton, GA 30117-2415 | 2019-03-08 |
| 1033656962 | Amy Hicks | Nurse Practitioner | 714 Cedar St, Carrollton, GA 30117-2415 | 2017-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740814532 | Njp Pllc | Clinic/Center | 1790 King Arthur Blvd Ste 140, Carrollton, TX 75010-2041 | 2020-03-02 |
| 1598316275 | Careatc | Clinic/Center | 1735 Keller Springs Rd Ste 100, Carrollton, TX 75006-2999 | 2019-09-24 |
| 1013463488 | Kuraoka Clinic Texas, Pllc | Clinic/Center | 3012 E Hebron Pkwy Ste 104, Carrollton, TX 75010-4461 | 2016-08-26 |
| 1417311382 | Mainmedplus Pllc | Clinic/Center | 3044 Old Denton Rd Ste 115, Carrollton, TX 75007-5074 | 2016-04-07 |
| 1306190921 | Pickens County Health Care Authority | Clinic/Center | 289 William E Hill Dr Ste C, Carrollton, AL 35447-3247 | 2012-11-05 |
| 1013407451 | Renovar Wellcare Pllc | Clinic/Center | 4217 Marsh Ridge Rd Ste 100, Carrollton, TX 75010 | 2018-05-10 |
| 1568816296 | Mainmedplus Pllc | Clinic/Center | 3044 Old Denton Rd Ste 115, Carrollton, TX 75007-5074 | 2016-04-19 |
| 1144689373 | Mainmedplus | Clinic/Center | 3044 Old Denton Rd, Ste 115, Carrollton, TX 75007-5016 | 2016-02-16 |
| 1508115718 | Fairway Family Medicine-primary Care, Pllc | Clinic/Center | 4100 Fairway Dr, 320, Carrollton, TX 75010-6525 | 2012-09-04 |
| 1326368168 | Najam Khan Mdpa | Clinic/Center | 4325 N Josey Ln, Suite 301, Carrollton, TX 75010-4635 | 2010-06-03 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on US MEDCLINIC 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.