IMMEDIATE CARE CENTERS, TYRONE – NPI #1689858805
Clinic/Center

IMMEDIATE CARE CENTERS, TYRONE is an AHC clinic located in TYRONE, GA. NPPES has assigned the NPI number 1689858805 to IMMEDIATE CARE CENTERS, TYRONE on December 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IMMEDIATE CARE CENTERS, TYRONE” is a dba name, the actual legal business name for this organization is IMMEDIATE CARE CENTERS OF GEORGIA, 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 18 years ago on Sep 09, 2008. 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 IMMEDIATE CARE CENTERS, TYRONE below.

NPI Profile for
IMMEDIATE CARE CENTERS OF GEORGIA, LLC

NPI Number
1689858805
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
IMMEDIATE CARE CENTERS OF GEORGIA, LLC
Doing Business As (dba): IMMEDIATE CARE CENTERS, TYRONE
Primary location
190 GREENCASTLE RD.
TYRONE, GA 30290
Phone: (678) 895-0216 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAY BENNETT
DIRECTOR
Phone: (678) 895-0216
Updated
Identifiers

Identifiers for IMMEDIATE CARE CENTERS, TYRONE

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
MEDICAIDGA152797525A
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 056526

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.