PHYSCIANS IMMEDIATE MED OF CANTON, PC – NPI #1013053115
Clinic/Center

PHYSCIANS IMMEDIATE MED OF CANTON, PC is an AHC clinic located in CANTON, GA. NPPES has assigned the NPI number 1013053115 to PHYSCIANS IMMEDIATE MED OF CANTON, PC on January 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYSCIANS IMMEDIATE MED OF CANTON, PC below.

NPI Profile for
PHYSCIANS IMMEDIATE MED OF CANTON, PC

NPI Number
1013053115
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSCIANS IMMEDIATE MED OF CANTON, PC
Primary location
720 TRANSIT AVE STE 101
CANTON, GA 30114-2571
Phone: (770) 720-7000 Fax: (770) 720-7055
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES COOLEY
OWNER
Phone: (770) 720-7000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 GA 035839

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.