SOUTH ATLANTA URGENT CARE CLINIC, LLC. (NPI# 1801104237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801104237 |
Entity Type | Organization |
Organization Name | SOUTH ATLANTA URGENT CARE CLINIC, LLC. |
Practice Address |
5185 Old National Highway Atlanta GA 30349 |
Practice Telephone | 4047639300 |
Practice Fax Number | 4047639306 |
Mailing Telephone | 4047639300 |
Mailing Fax Number | 4047639306 |
Enumeration Date | 2010-09-20 |
Last Update Date | 2010-09-20 |
Authorized Official Name | DR. FELIX WILLIAM AMOA-BONSU (OWNER) |
Authorized Official Telephone | 4047639300 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
055916 | GA | Ambulatory Health Care Facilities |
Street Address |
5185 OLD NATIONAL HIGHWAY |
City | ATLANTA |
State | GA |
Zip Code | 30349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
Find all providers in zip 30349 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
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---|---|---|---|---|
1962820845 | Modern Emergent Care, LLC | Clinic/Center | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2014-03-28 |
1073741971 | Highland Urgent Care | Clinic/Center | 920 Ponce De Leon Ave Ne, Atlanta, GA 30306-4212 | 2009-06-30 |
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1487058780 | Us Army | Clinic/Center | 703 E 9 Street, Fort Stewart, GA 31314 | 2014-10-15 |
1972780369 | Lifepointe Medical | Clinic/Center | 212 Ga Highway 49 N, Suite, Byron, GA 31008-4057 | 2008-01-28 |
1346441078 | Emergency Care Usa Georgia P.C. | Clinic/Center | 660 W Crossville Rd Ste 110, Roswell, GA 30075-7525 | 2007-05-30 |
1417011099 | Pacific Medical LLC | Clinic/Center | 1730 Mount Vernon Rd, Suite B, Dunwoody, GA 30338-4245 | 2006-12-20 |
1306831615 | Terrell Co Ems | Clinic/Center | 240 Johnson St Se, Dawson, GA 39842-1486 | 2005-09-13 |
1194258129 | Lifebrite Hospital Group of Early LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
1699080762 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
1679774392 | Roswell Emergency Care Center | Clinic/Center | 660 W Crossville Rd Ste 110, Roswell, GA 30075-7525 | 2007-05-30 |
Find all providers with the same taxonomy |
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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.