FASTTRACK IMMEDIATE CARE OF DUBLIN, LLC (NPI# 1801292776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801292776 |
| Entity Type | Organization |
| Organization Name | FASTTRACK IMMEDIATE CARE OF DUBLIN, LLC |
| Practice Address |
1110 Hillcrest Pkwy Dublin GA 31021-3687 |
| Mailing Address |
126 N 2nd St Cochran GA 31014-6330 |
| Practice Telephone | 4782962800 |
| Practice Fax Number | 4782962801 |
| Mailing Telephone | 4782710337 |
| Mailing Fax Number | 4782953003 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2018-11-17 |
| Authorized Official Name | NICOLE NOBLES PAULK (CEO) |
| Authorized Official Telephone | 4782710337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1110 HILLCREST PKWY |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-3687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548209901 | Phyllis Amanda Chafin | Nurse Practitioner | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2006-06-04 |
| 1396288700 | Top Gun Medical Solutions, LLC | Specialist | 1110 Hillcrest Pkwy, Suite C, Dublin, GA 31021-3687 | 2016-12-02 |
| 1780134411 | Fasttrack Ic Ancillary LLC | Specialist | 1110 Hillcrest Pkwy, Unit #c, Dublin, GA 31021-3687 | 2016-10-05 |
| 1205265683 | Lanie Welch | Nurse Practitioner | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2013-11-05 |
| 1578808069 | Hillcrest Surgery Center, LLC | Clinic/Center | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2012-12-10 |
| 1558525931 | Souza Family Health & Urgent Care Center, LLC | Clinic/Center | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2008-07-15 |
| 1225070261 | Anthony Yawn | Nurse Practitioner | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722127 | Ohio Advanced Medical LLC | General Practice | 5155 Bradenton Ave Ste 150, Dublin, OH 43017-7548 | 2019-04-03 |
| 1437406261 | Universal Vein Clinics, LLC | General Practice | 495 Metro Place North, Suite 195, Dublin, OH 43017 | 2012-08-10 |
| 1376864975 | Robert Allan Prots | General Practice | 6000 Riverside Dr., Apt B-407, Dublin, OH 43017 | 2010-06-17 |
| 1548248982 | Liberty Osteopathic Center, LLC | General Practice | 7269 Sawmill Rd, Suite 150, Dublin, OH 43016-9021 | 2006-01-05 |
| 1124024575 | Isam Tabbah | General Practice | 5126 Silver Woods Ln, Dublin, OH 43016-7073 | 2005-06-21 |
| 1831501584 | Dublin Springs Physician Group, LLC | General Practice | 7625 Hospital Dr, Dublin, OH 43016-9649 | 2014-05-29 |
| 1902236896 | Whole Health Medical Group Ohio Professional Corporation | General Practice | 7200 Cardinal Pl W, Dublin, OH 43017-1094 | 2013-11-14 |
| 1235449687 | Isam Tabbah Md Inc | General Practice | 5126 Silver Woods Ln, Dublin, OH 43016-7073 | 2010-10-19 |
| 1578727657 | Satya Bharmota | General Practice | 6089 Frantz Rd, Suite 103, Dublin, OH 43017-3326 | 2008-07-17 |
| 1760649446 | Physician Center of Dublin Inc | General Practice | 4351 Dale Dr, Suite 200, Dublin, OH 43017-5403 | 2008-05-20 |
| Find all providers in DUBLIN | ||||
Please comment or provide details below to improve the information on FASTTRACK IMMEDIATE CARE OF DUBLIN, 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.