FAMILY PRACTICE HEALTHCARE CLINIC/URGENT CARE CLINIC, LLC – NPI #1487022646
Clinic/Center

FAMILY PRACTICE HEALTHCARE CLINIC/URGENT CARE CLINIC, LLC is an AHC clinic located in MCRAE, GA. NPPES has assigned the NPI number 1487022646 to FAMILY PRACTICE HEALTHCARE CLINIC/URGENT CARE CLINIC, LLC on September 04, 2015. 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

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 FAMILY PRACTICE HEALTHCARE CLINIC/URGENT CARE CLINIC, LLC below.

NPI Profile for
FAMILY PRACTICE HEALTHCARE CLINIC/URGENT CARE CLINIC, LLC

NPI Number
1487022646
Enumeration Date

(about 11 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
FAMILY PRACTICE HEALTHCARE CLINIC/URGENT CARE CLINIC, LLC
Primary location
10 NORTH 3RD AVENUE
MCRAE, GA 31055
Phone: (229) 868-2831 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDMUND WRIGHT
PHYCIAN/OWNER
Phone: (229) 868-2831
Updated
Identifiers

Identifiers for FAMILY PRACTICE HEALTHCARE CLINIC/URGENT CARE CLINIC, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE202G086558
MEDICAIDGA522838074A
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 037111GA

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.