IMMEDIATE CARE CENTERS OF GEORGIA, LLC


Address: 190 Greencastle Rd., Tyrone, GA 30290
Phone: 6788950216

IMMEDIATE CARE CENTERS OF GEORGIA, LLC (NPI# 1689858805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689858805
Entity Type Organization
Organization Name IMMEDIATE CARE CENTERS OF GEORGIA, LLC
Other Organization Name IMMEDIATE CARE CENTERS, TYRONE
Practice Address 190 Greencastle Rd.
Tyrone
GA 30290
Mailing Address 190 Greencastle Rd.
Tryone
GA 30290
Practice Telephone 6788950216
Mailing Telephone 6788950216
Enumeration Date 2007-12-24
Last Update Date 2008-09-09
Authorized Official Name DR. RAY B BENNETT (DIRECTOR)
Authorized Official Telephone 6788950216
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
056526 GA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 152797525A 05

Other Provider/Organization Names

Other Name Type Code
Immediate Care Centers, Tyrone Doing Business As Name - Organization

Office Location

Street Address 190 GREENCASTLE RD.
City TYRONE
State GA
Zip Code 30290

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407215361 Kaitlin Lackey Occupational Therapist 105 Glendalough Court, Suite H, Tyrone, GA 30290 2016-02-19
1114211745 Johannes Daniel Smit Pharmacist 525 Valleywood Drive, Tyrone, GA 30290 2011-05-31
1760700199 Georgia Integrative Medicine Preventive Medicine 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 2010-05-10
1427384783 Exelle Home Care Home Health 105 Silverthorn Drive, Tyrone, GA 30290 2009-10-21
1386884138 Genesys Ob/gyn, LLC Clinic/Center 245 Greencastle Road, Tyrone, GA 30290 2009-03-05
1437212834 Dawn M Coffman Physician Assistant 190 Handley Rd., Tyrone, GA 30290 2006-12-18
1912971805 Jason Rex Lee Dentist 195 Greencastle Rd, Tyrone, GA 30290 2006-02-15
1053898759 Heather Renee Ellis Physical Therapist 62 Carriage Oaks Dr, Tyrone, GA 30290 2018-07-25
1134630858 Marjorie Yvette Elibert Advanced Practice Midwife 190 Handley Rd Ste A, Tyrone, GA 30290 2017-10-20
1407973936 Genesys Family Practice, Inc. Family Medicine 120 Handley Rd, Suite 410, Tyrone, GA 30290 2007-03-22
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568956464 Centre Urgentcare PC Clinic/Center 910 Pennsylvania Ave, Tyrone, PA 16686-1512 2018-06-15

Providers in the same taxonomy and state

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
1376173906 Rural Urgent Care LLC Clinic/Center 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819-7791 2020-01-23
1942846100 Pickens Urgent Care LLC Clinic/Center 744 Noah Dr Ste 108-109, Jasper, GA 30143-8705 2019-11-22
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Competitor

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City TYRONE
Zip Code 30290

Improve Information

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Dataset Information

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.

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