PREMIER IMMEDIATE CARE OF GEORGIA PC NPI 1356472914

NPI Information

NPI: 1356472914
Provider Name: PREMIER IMMEDIATE CARE OF GEORGIA, PC

Doing Business As: PREMIER IMMEDIATE CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
289 GRAYSON HWY
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 376-1300
Get Directions

PREMIER IMMEDIATE CARE OF GEORGIA, PC is a primary care clinic center in Lawrenceville, GA. PREMIER IMMEDIATE CARE OF GEORGIA, PC NPI is 1356472914. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Immediate Care.

The provider's business location address is:

289 GRAYSON HWY
LAWRENCEVILLE, GA
ZIP 30046-726
Phone: (678) 376-1300
Fax: (678) 407-1469

The provider's authorized official is Philip Norton Henderson .
The authorized official title is President and has the following contact phone number (678) 376-1300.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 9/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	047601	GEORGIA	No
2	261QX0100X	Clinic/Center	Occupational Medicine	047601	GEORGIA	No
3	261QP2300X	Clinic/Center	Primary Care	047601	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1316963358	MEDICARE OSCAR/CERTIFICATION	GEORGIA
2	1356472914	MEDICARE OSCAR/CERTIFICATION
3	6380470001	MEDICARE NSC	GEORGIA
4	1356472914	MEDICARE OSCAR/CERTIFICATION	GEORGIA
5	08BBVBL	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »