PRIME IMMEDIATE CARE LLC – NPI #1396924635
Clinic/Center

PRIME IMMEDIATE CARE LLC is an AHC clinic located in DOUGLASVILLE, GA. NPPES has assigned the NPI number 1396924635 to PRIME IMMEDIATE CARE LLC on November 02, 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 last updated on Aug 24, 2024. 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 PRIME IMMEDIATE CARE LLC below.

NPI Profile for
PRIME IMMEDIATE CARE LLC

NPI Number
1396924635
Enumeration Date

(more than 18 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
PRIME IMMEDIATE CARE LLC
Primary location
9280 HIGHWAY 5 STE E
DOUGLASVILLE, GA 30134-1501
Phone: (770) 635-8163 Fax: (770) 635-8254
Mailing address
9280 HWY 5
SUITE E
DOUGLASVILLE, GA 30134-1501
Phone: (770) 635-8163 Fax: (770) 635-8254
Organization Subpart
No
Authorized Official
MOHAMAD HAMKI
DIR
Phone: (770) 635-8163
Updated
Certification Date
Aug 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.