BROAD ST. REDDY URGENT CARE – NPI #1649762121
Clinic/Center

BROAD ST. REDDY URGENT CARE is an AHC clinic located in ATHENS, GA. NPPES has assigned the NPI number 1649762121 to BROAD ST. REDDY URGENT CARE on May 31, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROAD ST. REDDY URGENT CARE” is a dba name, the actual legal business name for this organization is REDDY URGENT CARE LLC. 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 Jan 14, 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 BROAD ST. REDDY URGENT CARE below.

NPI Profile for
REDDY URGENT CARE LLC

NPI Number
1649762121
Enumeration Date

(more than 8 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
REDDY URGENT CARE LLC
Doing Business As (dba): BROAD ST. REDDY URGENT CARE
Primary location
283 E BROAD ST
ATHENS, GA 30601
Phone: (706) 621-7575 Fax: (706) 621-7557
Mailing address
1061 DOWDY RD STE 101
ATHENS, GA 30606-5700
Phone: (706) 621-7575 Fax: (706) 621-7557
Organization Subpart
No
Authorized Official
RAM REDDY
CEO
Phone: (706) 621-7575
Updated
Certification Date
Jan 14, 2020

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.